Medical Online Paid Service Request Form

Paid Services for Medical Products Companies
through
Medical Online

The following services may be acquired from Medical Online for the minimal fees listed. To request these services, please fill out the Service Request Form below.

1 - Add a Pictures of your Business or a Major Products to your Medical Online Listing. For the price of $15, one (1) picture of your choice will be placed next to your listing to give it added advertising interest and appeal. (Listing and picture will remain online for one full year.)

2 - Add Your Company Logo to your Medical Online Listing.
Draw the attention of potential customers to your listing with your distinctive logo (or we can design and create a logo for you - price negotiable)

3 - Detailed Custom Designed Web Page about your Business and/or Product

For only $399, we will design a professional website which includes 6 pages, original logo design, feedback and contact forms and more.

4 - List as this Weeks Featured Business

Become Medical Online's Featured Medical Products Company! We will feature your business or product on the front page of our site for one (1) week. This includes one (1) photo of your choice to be placed online and a link directing browsers directly to your web page URL! (If you do not have a web page we can create one for you for an additional fee!)

5 - List as this Weeks Featured Medical Product

Display your Product as Medical Online's Featured Medical Product (or product line). We will feature your medical product on the front page of our site for one (1) week. This includes (1) one photo of your choice to be placed online and a link directing browsers directly to your we page URL! (If you do not have a web page, we can create one for you for an additional fee!)

Service Request Form

This form is for those interested in requesting one of the above paid services from Medical Online. Filling out this form does not make any obligation to buy. (Medical Online does not accept credit cards online at this time, do not place any credit card information in the form below.)

Please fill out this form and click on "Send" to have your business and product information listed for FREE.

Tell Us How to Get In Touch With You:
Company Name:
Contact Name:
Title:
Street Address:
Address (cont.):
City:
State:
Zip Code:
Phone:
FAX:
E-mail:
Website:

Business Description and/or Product Listing:
*Finally, in 50 words or less write* or list a description of your business and/or products.**
Listing Information:
Which service(s) listed above are you interested in? (click on all that apply)
	1-Picture on Medical Products Business Listing ($15) 2-Company Logo on Medical Products Business Listing 3-Website Created ($300 and up) 4-Listed as Featured Medical Product ($250/week) 5-Listed as Featured Business ($250/week)
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Please take a moment to review our terms and conditions. Medical Online is owned by enlighten technologies™ and all their rules and conditions apply to any listing on this site.