Digital Street Sign Request Form

Digital Street Sign Request Form

This form is for requesting announcements for display on the digital street sign outside of the Church on Dover Center Road.
Request Date

MonthDayYear
Date
Requested By:*

First NameLast Name
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Parish Ministry/Organization*
What ministry/group is making this request?
Activity/Event*
What is the activity or event to be promoted by the digital sign?
Requested Message

Messages are programmed to begin appearing on the street sign on a particular Starting Date and at a specific start Time of Day. Messages will be displayed continuously from the start date/time through a programmed Ending Date and Time of Day. If other display options are desired - such as message display only during specific days of the week and/or specific times of the day – please contact the Parish Office.)
Street Sign Request Starting Date

MonthDayYear
(The first day the graphic will appear.)
Starting Time

Hour Minutes

AM/PM Option
Street Sign Request Ending Date

MonthDayYear
(The last day the graphic will appear.)
Ending Time

Hour Minutes

AM/PM Option
Message Composition

The message may be composed of any character, number or symbol available on a regular computer keyboard, including upper and lower case letters. Use the boxes below to compose your requested message, including spaces between characters; only one character per box.

Maximum message of 60 characters broken down into 6 lines of 13.

View the street sign image at the top of this form for example of how text is broken down by line.
Message Line 1
13 characters max per line
Message Line 2
13 characters max per line
Message Line 3
13 characters max per line
Message Line 4
13 characters max per line
Message Line 5
13 characters max per line
Message Line 6
13 characters max per line
Please submit your request at least one week prior to desired starting date. Thank You.
For technical assistance or help with graphics, please contact Dr. Andy Kereky: akereky@saintraphaelparish.com
Comments/Instructions/Questions. . .
Do you have any comments, explanations or instructions regarding your Ministry graphic or Ticker message?
Should be Empty:

Digital Street Sign Request Form

Requested Message

Message Composition

Please submit your request at least one week prior to desired starting date. Thank You.

For technical assistance or help with graphics, please contact Dr. Andy Kereky: akereky@saintraphaelparish.com