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Better Listing:                                                                 $199 per year

Displays Your Contact Information, Including:*
Information listed on One State Page.
Name
Company Name
Address
Telephone number
Your Email Address & Link to email you directly
Your Web Address & Link to your site
Brief description of your company, areas of expertise up to 25 words.
Your company Logo or photograph

A full web page dedicated & designed for you & your company.
A link from your name and logo to the dedicated web page.
Web promotion to direct traffic directly to your page.

*Customer can omit any of the aforementioned information at their discretion.

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Better Listing Order Form
* Required Field
*Your Name:
*Company:
*Address:
*City, State & Zip:
*Telephone:
Fax:
Email:
Web Address:
Please enter a description of your company
up to 25 words that will be displayed with
your ad for the initial State Page Listing.
Please enter all of the Text to be displayed on
your dedicated page below.
Any photographs or company logos which need to be inserted will
have to be emailed separately. You will receive email instructions after
ordering.  Currently acceptable image formats include: jpg, gif & bmp.
I have read and agree with the Terms & Conditions of
this order as noted in the
Terms & Conditions of Use.
After submitting the information, you will be directed through the
payment system.
To pay by Check, Fill out and Print this Form. Then mail the printed form
with a check to: Medical Malpractice Information Services, LLC
  2 Klarides Village, Seymour, CT 06483
Order Better Listing
Medical Malpractice Defense Information Services
MedMalDefense.net
Listings with a Silver Bar,
have one additional page
of information dedicated
to the company. Click on
the link for these
companies for additional
information.