International Order Form

Order Form:

CI-DMS Internet Directories & Web Sites

How to use this Form:

Use one Form per practice/organization. To reduce "Banner", click on its "UPPER" right arrow. Click On "X" to close banner.

Type in the Form, on screen response, (fill out all applicable blanks).

Press "TAB" to move between blank spaces. When finished, please print the Form.

Preferred payment: Check drawn on an American bank.

PAYMENT - INTERNATIONAL ORDERS:
Preferred payment is by "Wire Transfer Of Funds". Allows your business to receive DMS first priority services
To receive DMS wire information, kindly contact our office by E. Mail: [email protected]

Acceptable payment: International Money Order or a check drawn on a local bank by using your country's currency.
Our bank will send the check back to country of origin for collection. The process usually takes about 3-4 weeks.

	Directory	Fee/Yr

1	Arab Family Web site & Dir.	$455
2	Arab Health Directory	$375
3	Arab Kidney Transplant Dir.	$695
4	Arab Neurosurgery Dir.	$365
5	Arab Orthopedic Surgery Dir.	$385
6	Arab Ob & Gyn Directory	$395
7	Women Doctors Directory	$390
8	World Specialists Directory	$250
9	Int'l Patients Programs	$145
10	Adv. Phys Med. Rehab Dir.	$375
11	2nd Opinion Specialists Dir.	$235
12	American Expat Directory	$295
13	O. C. Care Providers Directory	$395
14	Workers Compensation Dir.	$398
15	Medical Specialists Finder	$275
16	Recommended Specialists	$295
17	O.C. Businesses Directory	$175

Contact DMS About Special Projects
& Private Promotion For Your Company

.. Special Advertisement Offer:
..................
DDescription of Service:

.....Amount Paid $.
Deadline (Payment received at DMS) .

	.	Arabic Web Page Development:
.		An Arabic page is equal to about one half page of English language text.
	.	.JPEG Format: Web Page Fee: $129 Translation into Arabic language and development of an electronic web page ready to link to your web site. Easily accessible for viewing, no software requirement. TOTAL FEE: Number of Arabic Web pages X $129 = $
.		.
		.PDF Format: Web Page Fee: $165 Translation into Arabic language and development of an electronic web page with photos and colored text, ready to link to your web site. Acrobat reader software is required for viewing. TOTAL FEE: Number of Arabic Web pages X $165 = $

..Additional Services:
.

u Development of multi-Language web pages:

. DMS develop web pages in 6 languages:
Arabic, English, French, German, Italian and Japanese

.

u . DMS is developing 44 Arabic cancer web sites:
If you wish to list your name/web site at all 44 web sites,
please contact DMS for more details.

TOTAL Fee: Add amounts from selected boxes above and enter here $
Date. Check Number.

ORDER INFORMATION: (Please complete only applicable information)

Name	.Title
Special Interest
Department
Institution
Address
City	.State/Postal Code ..Country
Country Code	.City/Area Code. Telephone number ..FAX number
E - Mail Address
Web Site Address

Please Print Completed Form And Mail It With Your Payment To:
Doctors' Marketing Service
P.O. Box 748, Lake Forest, California 92630-0748, USA

Hosted by www.Geocities.ws

		Use one Form per practice/organization. To reduce "Banner", click on its "UPPER" right arrow. Click On "X" to close banner.
		Type in the Form, on screen response, (fill out all applicable blanks).
		Press "TAB" to move between blank spaces. When finished, please print the Form.
		Preferred payment: Check drawn on an American bank.
		PAYMENT - INTERNATIONAL ORDERS: Preferred payment is by "Wire Transfer Of Funds". Allows your business to receive DMS first priority services To receive DMS wire information, kindly contact our office by E. Mail: [email protected]
		Acceptable payment: International Money Order or a check drawn on a local bank by using your country's currency. Our bank will send the check back to country of origin for collection. The process usually takes about 3-4 weeks.