Camphor 100th Anniversary Souvenir Journal Ad Form

100th Church Anniversary Souvenir Journal Memorials/Greetings/ Advertisement and Patrons Form
I/We authorize Camphor Church to publish the attached letter of congratulations, memorial, greeting, advertisement, or gold patron's listing in the official Souvenir Journal commemorating the church's 100th anniversary. (Note: Submit each ad separately)

DEADLINE for submission is October 15, 2022.
Contact Person:*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Church/Business/Organization
Ad Size (all color)*

Full Page (8 1/2 x 11) - $100.00Half Page (8 1/2 x 5 1/2) - $75.00Business card - $25.00Inside Front Cover - $200.00Inside Back Cover - $200.00Gold Patron (per name) - $10.00
Name of Gold Patron (list additional patrons below or download form on church website for more than 3 patrons)
Mr. and Mrs./Individual
Attach Camera Ready File

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Attach Image

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Name(s) of Gold Patron
Mr. and Mrs./Individual
Name(s) of Gold Patron
Mr. and Mrs./Individual
Special instructions about your letter of congratulations, memorial, advertisement, letter of congratulations or patron list:
Total Donation*

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100th Church Anniversary Souvenir Journal Memorials/Greetings/ Advertisement and Patrons Form