Medical Media Kit Request Form | Scranton Gillette Communications

First Name *

Last Name *

Company Name *

Title *

Email Address *

Phone Number *

What type of company do you work for? *

Manufacturer

Advertising Agency

PR Agency

Which of the following are you considering for your marketing efforts? *

Urgency/Purpose of your request *

Urgent Advertising Request

Future Advertising Request

Public Relations - Product Release or Editorial Submission (no advertising interest at this time)

What publications are you interested in? *

Imaging Technology News

Diagnostic & Interventional Cardiology

Both