LOS ANGELES RADIOLOGICAL SOCIETY
MEETINGS MEMBERSHIP HOME  WELCOME INSIGHTS CLASSIFIEDS

                             NONMEMBER CLASSIFIED ADVERTISING REQUEST FORM

 

PO Box 93125, Pasadena, CA 91109 - Phone: 626-836-5800 - Fax: 626-836-6606 - Email:  lars@larad.org

This form is for nonmembers to submit  classified advertisements for a fee.
Submit the completed form to LARS by clicking the 'submit' button at the end of the form. LARS will email an invoice.
 
Caution:  Do not email payment information.

Submitter Name
Company
Phone 
Fax
Email
Street Address
Street Address
City
State
Zip
What contact information do you want to appear with your ad copy? 
Name
Company
Phone
Fax
Email
Address
Ad Copy
Click the submit button to send this form to LARS.  You will receive an invoice by email.