Reprint Order Form

Please follow these steps to order reprints

• Download the PDF order form here.
• Save document.
• Fill out the form.
• Email as attachment to: officemanager@businesswest.com with subject “Reprint Order”

or
Copy the information below and paste into an email to: officemanager@businesswest.com

BusinessWest
Healthcare News
Reprint Order Form

Date: ______/_____/______

Company (Requested By):
Address (City State Zip):
Phone (Fax):
Email:

Agency/Billing:
A/P Contact:
Address (City State Zip):
Phone (Fax):
Email:

REPRINT OPTIONS / PRICE*
__ Emailed 8.5”x11” PDF Reprint $50
__ Framed 16”x20” Matted Reprint (one page/cover) $100
__ Framed 18”x24” Reprint (entire article w/art) $150

DESCRIPTION OF REPRINT
Title:
Publication & Date:
Page Number (if possible):

*Billing invoice to be sent with delivery

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