Hidden Type Ads, Flyers & Sponsorships Business Cards & Name Tags Event iCapture Print Material Promotional Items Uniform Request Recruiting Who are you ordering cards and/or name tags for? * Myself Someone else Several People Employee Status * Current Employee New Employee Which do you need? *
Check all that apply.
Requester Name *
Full Name *
If you are a clinician, please include your credentials! ex: PT, DPT, OCS
Business Card Information *
Please provide everything that should be on your business cards, including full name AND credentials (ex: PT, DPT, OCS). Please make sure all spellings and credentials are correct before submitting! To submit more than one individual's order, press the (+) to the right.
Clinic Address: *
We will ship to this address unless otherwise noted.
*OUT-OF-STOCK* Men's Polo Sizes: M, L | Women's Polo Sizes: S, M | We are uncertain about the restocking timeline for these items. Who are you ordering for? *
Polos are not to be worn in the clinic per policies & procedures.
PSC/Aide - Uniform Button Downs Clinicians - Uniform Event Polos Button Down Sizing *
You will receive 1 item for each day worked. Aide and PSC clothing is ordered on the 1st & 15th of each month. Please allow 3-4 weeks for delivery. To enter more than one individual's order, press the (+) to the right.
Vests & Cardigans
PSCs Only - If ordering multiple pieces of one item, please put the quantity in parentheses. Example: (2) 2XL
Polo Sizing *
*OUT-OF-STOCK* Men's Polo Sizes: M, L | Women's Polo Sizes: S, M. We are uncertain about the restocking timeline. Polos are not to be worn in the clinic per policies & procedures. Click the (+) symbol on the right to add multiple orders. For questions, please email: firstname.lastname@example.org
Uniforms are ordered on the 1st and the 15th of every month. Please allow time for ordering and shipping.
Tell us more about this opportunity! Please do not commit to any financial agreements until this request is reviewed by Marketing. Marketing will review the request and reach out if we have questions, need approvals from leadership, and/or confirmation of next steps.
Type of Request * Flyer Magazine Ad Online Ad Sponsorship Type of Request * Direct Mailer Recruiting Calling Cards (100 cards) University Flyer PDF (not for events) Swag for University Event Other University Event Swag Options *
Choose your items
Do you have a mailing list? Attach Your List
Please attach your address list below.
Drop files here or
Max. file size: 50 MB. More Information *
Provide thorough information on this sponsorship. What does the sponsorship entail? Is it more passive (signs & banners) or will it be more active (clinicians on site). Please detail how this sponsorship will benefit both parties.
More information *
Please give us all the details you need included on this piece. If you have one already mocked up an example you can attach it below!
More information *
Any other details you want to provide? Let us know! (What region the direct mail is for, etc.)
Have a pdf that details the specs and requirements for this ad/flyer? Attach it below!
Drop files here or
Max. file size: 50 MB. *Disclaimer*
Please do not agree to any financial commitments before submitting your request to Marketing. Marketing must be the final approver on all check requests for sponsorships and marketing requests.
Tell Us About Your Event! Please enter events you are confirmed to attend with as much detail as possible. iCapture codes will be issued by email the week of your event from Hannah Mansfield.
Due to COVID-19 precautions, all events must be approved by your DCO. Please do not submit a request, until approval has been confirmed by your leadership.
Type of Event * Race (5k, Marathon, etc) Health Fair CrossFit or Gym event Other Event Details *
To add multiple events click the plus sign!
State Event Takes Place * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming What Florida Region are you in? * FLAP Palm Coast Tampa
Dig through the Marketing Closet! Check all boxes that apply to your order. Please do not order extra items if it is not in your purview to order them.
**Before submitting item & material orders please check with your physician liaison to see if they have the item on hand **
All items below are custom ordered for the clinic listed below. To order business cards or name tags, please start a new marketing request.
Signs - Compliance & Marketing Resources Physician Marketing Materials 4x9 Cards
Each set comes with 50 cards.
Need more than 50 4x9 cards? Let us know here! Promotional Items
More information may be need after selections are made.
How many masks do you need? How many onesies do you need? Who should we ship to? *
Please let us know if you would like it wrapped and packaged for the parent to be to open or if you would like us to ship it directly to you so you can wrap and gift to the recipient.
Me, the requester - I will gift wrap & present at a later date. The Parent to be - Marketing will gift wrap it & send with a card from the practice. Specialty Item Request
Tell us more about the items or materials you are looking to order and what they will be used for. Please note if you are ordering a specialty item it could take up to 8 weeks to design, create and ship.
* Would you like this order shipped to the clinic listed above? *
Please note: we will not ship to home addresses due to cost.
Shipping Address *
Please use a clinic address when possible.