Port Townsend Seventh-day Adventist Church

Bulletin Announcement Request
Please use the form below to submit announcements you desire to have printed in the bulletin. Items Marked with an* are required.

First Name
1. Firstname: *
Last Name
2. Lastname: *
3. Contact Phone: *
4. Email Address: *
Date to Display Announcement 1.
5. Date (mm/DD/YYYY): *
How many weeks do you need the announcement run for?
6. Weeks to Run Ad 1: *
If only one announcement is needed, leave the areas for 2 & 3 Blank. Include all phone, email, web address, physical address and other necessary info.
7. Announcement 1: *
Date to Display Announcement 2.
8. Date (mm/DD/YYYY):
How many weeks do you need the announcement run for?
9. Weeks to Run Ad 2:
Include all phone, email, web address, physical address and other necessary info.
10. Announcement 2:
Date to Display Announcement 3.
11. Date (mm/DD/YYYY):
How many weeks do you need the announcement run for?
12. Weeks to Run Ad 3:
Include all phone, email, web address, physical address and other necessary info.
13. Announcement 3:
14. AntiSpam:   Enter the code in the graphic below to help eliminate spam entries.
*
Fields marked with an * are required.