International Association of Rehabilitation Professionals-Carolinas

An Association for Professionl Experts

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Ad Form

*Date *Your Name *Name of Company *Street *City State and Zip *Your Telephone Number *Your web site Your E-mail address *I am interested in the (choose one)
2" x 2" ad
5" x 1" ad
I want my ad to include the following (i.e. link to my web site, logo, other)
*I agree that my ad will appear once IARP-Carolinas receives my payment

*Please make checks payable to IARP-Carolinas and mail to

Lynne Sposito, RN
716 Malbay Lane
Raleigh, NC 27615
919 309-0911
919 846-0621 fax
rspo0771@aol.com

Questions? Contact

Jane Rouse, RN, MS, CRC, CDMS, LPC
Southern Rehabilitation Network
3725 National Drive
Raleigh, NC 27612
919-781-3149
jane.rouse@southernrehab.net

IARP-Carolinas Š2008 All Rights Reserved