Souvenir Booklet Ad Form

2. First Name

3. Last Name

5. Address 1

7. Address 2

9. City

10. State

11. Zip

13. Phone Number

14. Email Address

18. Please indicate your ad size.

20. Ad Prices

    1. Full Page $200
    2. Half Page $100
    3. Quarter Page $50

    1. Business Page $25
    2. Single Line Patron Ad $10

22. Upload your ad

    File must be a high definition PDF or high definition JPEG 600dpi or greater

23. Payment
    Ad Sales Payment

25. Checks can also be mailed to Shiloh Baptist Church Ad Sales 1429 Duke Street, Alexandria, VA 22314

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field