Website Advertising Contract

Advertisers may contract with the Ohio Society of Radiologic Technologists (herein referred to as OSRT) for a period of one (1), three (3), six (6), nine (9) or twelve (12) month duration for a single advertising space on the OSRT Web site. The advertisement will appear on the OSRT Home Page. The advertisement may be positioned on the OSRT Website in random rotation with up to 3 or more advertisers.

Specifications must meet (See the OSRT Web Advertising Media Kit for all digital specifications):

Online ads must be submitted electronically using this form.
Payment methods include Credit Card, PayPal, or by mail with check or money order.
The maximum banner ad file size is 50k.
Acceptable file formats include the following: png, jpg, gif, or animated gif and may also include a link your specific Web page when your company’s image is clicked.
Special multimedia banner requests will be evaluated individually by the OSRT.
Art must be received five (5) business days prior to the contractual posting date.
Ads are sold on a first-come, first-served basis, with current, active advertisers offered the right of first refusal.
Renewals must be made a minimum of 30 days before contract expiration.

Before submitting this contract, please review the OSRT Advertising Terms and Conditions. Submission of this contract serves as your agreement with all the terms and conditions as detailed in OSRT's Web Advertising Media Kit.

We appreciate your business.

OSRT Financial Amount *

12-Month Option - $ 600.00

9-Month Option - $ 500.00

6-Month Option - $ 375.00

3-month option - $ 250.00

1 month option - $ 100.00

Total Amount

Advertiser Name and Address

Company Name *

First Name *

Last Name *

Street Address *

City *

State *

Postal Code *

Phone and Extension-Phone *

Email *

Use the button below to upload your company's Ad. The graphic must meet the specification outlined in the OSRT Web Advertising Media Kit-Banner Ad Specs.

Web Ad Upload

Use the space below to list the Web link for the Company's Ad.

Website *

Credit Card

If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page.

Checkout securely. Pay without sharing your financial information.

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *