Online Banners Web Form Thank you for selecting HealthLinks Charleston/HealthLinks Upstate to help brand and grow your practice. Please complete this form so we can create your online banner advertisements on CharlestonPhysicians.com or UpstatePhysiciansSC.com! Required fields below are indicated by *RegionChoose One*HealthLinks CharlestonHealthLinks UpstateCONTACT INFOYour Name*Your Email*ONLINE BANNER INFOBusiness Name*Business Phone*Begin DateEnd DateWebsite-Wide Sidebar BannerSidebar Banner?*YesNoURL to direct your Sidebar banner advertisement to:Specialty Page BannerSpecialty Page Banner?*YesNoURL to direct your Medical Specialty banner advertisement to:Select Medical SpecialtyPlease selectAddiction Recovery & RehabAllergists/ImmunologistsAudiologists/Hearing Aid SpecialistsCardiologistsChiropractorsDentist - General/FamilyDentist - EndodontistsDentist - Oral SurgeonsDentist - OrthodontistsDentist - Pediatric DentistsDentist - PeriodontistsDermatologistsEndocrinologistsENTFitness & ExerciseGastroenterologistsGerontologists & GeriatriciansHealth InsuranceHolistic & Alternative MedicineHome CareHome HealthHospiceInternistsNeurologistsOB/GYN DoctorsOncologistsOptometrists/OphthalmologistsOrthopedic DoctorsPain Management DoctorsPediatriciansPharmaciesPhysical Therapy & RehabPlastic SurgeonsPodiatristsPrimary Care DoctorsPsychiatristsPsychologists/Mental Health CounselingPulmonologistsRadiologistsRheumatologistsSenior LivingSleep CentersSpinal Care DoctorsSports Medicine DoctorsSports PodiatristsStem Cell/Regenerative MedicineSurgeonsUrgent CareUrologistsVascular Medicine DoctorsVeterinariansWeight Loss DoctorsIntegrated Content BannerIntegrated Content Banner(s)?*YesNo# of articles contracted to place Integrated banners?Please select12345678910Can HealthLinks determine which articles to place your integrated content banners?YesNoURL to direct your Integrated Content Banner advertisement to:Can HealthLinks design your online banners?*YesNoIf not, please attach your online banner(s) ad hereFILES: Max File Size Allowed Per File: 10 MB. Allowed File Types Are: GIF, JPG, JPEG, PDF, PNG GRAPHICS SIZES: Sidebar banner (300 x 250 pixels), Specialty Page banner (470 x 125 pixels), Integrated Content banner (470 x 125 pixels)Any Notes for the HealthLinks Webmaster? SendThis field should be left blank