If you would like to advertise for a position wanted, position available, or items for sale, please complete the information requested below and click on the "Submit" button. (Please limit your ad to no more than 130 words.) PANPHA staff will edit for style and brevity. Please be sure to include your address, telephone and other relevant contact information in your ad. All ads automatically run for 90 consecutive days. Any member wishing to continue the ad longer than 90 days must notify the PANPHA office. Payment must be received before ads are posted. Any member wishing to discontinue an ad prior to 90 days must notify the PANPHA office.

Classified Advertising Submission Form
Please fill in the information requested and click on the "Submit" button.

Are you or is your facility/company a PANPHA member?
YES NO
If no, please send your payment to the PANPHA office (see address below). Payment is due when ads are submitted.

Name

Title

Facility/Company Name

Address - Line 1

Address - Line 2

City State Zip Code
Phone Fax
(Please include area code for phone and fax.)

E-mail Address (to allow an e-mail response to your ad.)


Would you like your e-mail address included as a "link" with your ad?
YES NO

Web Page Address (to link your Web page to your ad.)


Would you like your Web address included as a "link" with your ad?
YES NO

Type of Advertisement
Position Available Position Wanted Item for Sale

Title for Advertisement


Advertisement



Please mail payment (if required) to the PANPHA office at: