Advertising Request Form

Submit Your Advertising Opportunity

Welcome! At Lake Butler Hospital, we love connecting with our community through our media partners. Because our PR and Marketing team receives a high volume of advertising inquiries, we’ve created this streamlined form to make your job easier.

Instead of getting stuck in missed phone calls or long email threads, this quick system guarantees your proposal lands directly on our desk with all the exact we need to make a fast decision, in the order they are received.

Please note: We only review advertising opportunities submitted through this portal.

Simply fill in the details below, and we’ll have everything we need to review your space! Thank you for thinking of us, and we look forward to reviewing your proposal.

Media Outlet / Publication Name(Required)

Representative Name (Your Name)(Required)

What is the best phone number to call you at?(Required)

What is your email address?(Required)

What is. your website or social media page?(Required)

File Uploads (Specs, Rates, & Contracts)

Max. file size: 256 MB.

Type of Advertising(Required)

Target Audience / Demographics (Who does this reach? E.g., local families, medical pros., seniors.)(Required)

Estimated Reach / Circulation: (e.g., 10K monthly readers, 5K event attendees)(Required)

Total Cost Range of Advertising Opportunity(Required)

Does this pricing include a healthcare or community partner discount, and/or any added value/bonus inclusions?

Yes

Artwork Submission Deadline:

Run Date(s) / Publication Date:

Exact Ad Dimensions(Required)

Required File Format(Required)

Color Requirements(Required)

CMYK, RGB, Black & White, or Other

Link to Media Kit / Additional Info

Any other critical details our design team needs to know?

Submit Your Advertising Opportunity

Let us address your healthcare needs today.
(386) 496-2323

How can we help?