To apply on-line for a PCMS Classified Ad, please fill out the form below. Your personal information will allow us to contact you and secure your payment for the ad. The fields "Advertisement Type", "Ad Listing" (title of your ad), "Details/Description", and "Contact Information" will be used as your classified ad listing on the site. To apply via telephone, contact us at: (215) 563-5343, Ext. 102 Advertisements must be placed 7 days prior to the first of the month. All advertisements must be paid in advance to: "The Philadelphia Medical Society" Accounting Department 2100 Spring Garden Street Philadelphia, PA 19130 Telephone: (215) 563-5343, Ext. 102 MONTHLY RATES: 61 to 90 words $135.00 31 to 60 Words $95.00 1 to 30 words $50.00 Fields in red are required. Title Mr. Mrs. Ms. Dr. Prof. First Name Last Name Address Address (second line if necessary) City State Zip Code Home Phone Number Work Phone Number Fax Number E-mail address Advertisement Type For Rent For Sale For Rent or Sale Help Wanted Professional Services Situation Wanted Ad Listing Details/Description Contact Information Expiration Date