American Dental Company

Public Relations Agreement

Please fax your completed agreement to 312-455-9491.

Practice Name: _____________________________________________

Doctor's Name: _____________________________________________

Phone: ____________________________________________________

Street: ____________________________ City________________ State: ________ Zip: __________________

Service Description:

Promote Client's Event among local print and broadcast media.

Below please provide the names of all media you would like us to contact (maximum of four):

Name of Media and contact info (if available)	Possible Announcements
1.	Introduction to Evemt (Save The Date) Countdown to Event Quick Reminder Debrief
2.
3.
4.

Note: If you would like us to conduct a search for appropriate media in your Service Area, please advise your marketing specialist.

Pricing*

$250 per media

*Pricing assumes four contact cycles (Call, Email or Fax, Call) per Media, plus availability to field and respond to inquiries:

I understand that American Dental Company will employ its best efforts to creating, distributing and securing placements for my Event in the above media. I further understand that I will have the opportunity to review Releases prior to distribution.

I have read and understand this Agreement and agree to abide by its terms.

Accepted By: _____________________________________ Date: __________________

Signature