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I'd check with another local (competing) paper and see what they charge to insert your newsletter into their paper for distribution. Then place that issue of your newsletter in the medical offices the following week. Come up with a catchy title for your newsletter and use it for local radio spots or maybe a 'crawl' at the bottom of the Weather Channel broadcast. Ask people to call your business phone to get their free copy of the newsletter. You are building your contact list with solid info from folks who are giving you permission to communicate with them.
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