Call: 866.272.3799

Order Form: Quarterly Patient Newsletters

**We will contact you to discuss your projects before design work begins and before your credit card is charged.

Terms (Initial below):

Brazzell Marketing Agency, Inc. (BMA) agrees to:
  • To design a new newsletter every 90 days. The format should be an 8.5x11 self-mailer, unless the customer specifies otherwise with 30 days’ notice.
  • To print newsletters at the quantity choice specified by the customer.
  • To refrain from printing until approval for the piece is received.
  • To mail newsletters via standard mail.

Authorized E-Signature:

Your Contact Information

Company Name:

Contact Person:

Phone Numbers:

Contact Emails:

Subscribe to Marketing Matters email newsletter?


Credit Card Number (AmEx, Visa, MasterCard):
Expire Month:    Expire Year:
Name on Card:

Billing Address for Card:
State:    Zip: