TD Washingtonian Combo 19

[Pages:1]More than just a dentist ? the right dentist

OFFICIAL

topDentists

AWA R D

Official topDentists

COMMEMORATIVE DESKTOP ACRYLIC AND COMMEMORATIVE PLAQUE

The 2019 edition of topDentists will be excerpted in Washingtonian Magazine in its March 2019 issue. A topDentists Plaque and/or Desktop Acrylic is available to those outstanding dentists who have been selected by their peers for inclusion in the 2019 edition of topDentists.

The Desktop Acrylic consists of a 3/4" thick clear display and features the topDentists logo, dentist's name, specialty, magazine's logo and 2019 inclusion date. The Acrylic arrives in an attractive gift box. Acrylic Dimensions: 6.5" x 8.75" with a 2" deep base

The Plaque consists of a gold-rimmed certificate and features the topDentists logo, dentist's name, specialty, magazine's logo and 2019 inclusion date. The metallic certificate is mounted on a handsome wood panel. Plaque Dimensions: 10.5" x 13"

topDentists order form

w Please send

topDentists Desktop Acrylic. Cost: $200 per Desktop Acrylic.

w Please send

topDentists Plaque(s). Cost: $200 per Plaque, $175 each when ordering in quantities of 3 or more.

w Please send one topDentists Plaque AND one topDentists Desktop Acrylic. Cost: $349 for both.

NAME AS IT SHOULD APPEAR ON DESKTOP ACRYLIC OR PLAQUE

SPECIALTY AS IT SHOULD APPEAR ON DESKTOP ACRYLIC OR PLAQUE (Limit 40 Characters)

Gender: w Male w Female

Plaque Options:

w Black w Light Wood w Dark Wood

The web link provides direct access from our website to your practice website. A web link not only allows you to stand out amongst the listings, but also provides potential patients the ability to quickly see your credentials, your staff, and the services you offer. Cost: $100 per year Please link my listing on to my website at:

Shipping Information: Name Address City Email Address

Payment Information: Merchandise total: $ Credit Card: w Visa Card # Card Zip Code

State

Zip

For shipping confirmation

w MasterCard w AMEX Exp. Date CVV#

Orders paid by check please mail to: topDentists, llc ? P.O. Box 970 ? Augusta, GA 30903 PHONE 706-364-0853 ? FAX 866-637-6593

For faster processing, fax this form to 866-637-6593. Prices include sales tax and shipping & handling via FedEx. Please do not include a P.O. Box in the shipping address.

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