Mount Zion Baptist Church

Pastor Charles R. Johnson, Sr. Installation Souvenir Book

Advertisement / Patron Submission Form

Applicant / Sponsor Information

Tell us who is submitting the advertisement or message.

Full name RequiredBusiness / organizationCell phone RequiredEmail Required

Souvenir Book Advertisement & Patron Selection

Choose one advertisement, congratulatory message, or patron listing option.

Full Page8½ × 11$500Half Page8½ × 5½$300Quarter Page4⅞ × 5½$150Congratulatory / Patron Listing$100

Submission Method

Choose how the materials will be delivered.

Online formComplete this form and attach the advertisement.In personBring the form, payment, and advertisement to the committee table.By mailMail to 1634 19th Avenue, Seattle, WA 98122.

Payment Method

Choose a method. Online payments are completed first in Realm.

Online PaymentCheckCash

Payment amountSelect an advertisement

Advertisement / Patron Message

Provide the publication name and final message details.

Name or title to appear in the Souvenir Book RequiredCongratulatory message / special instructionsCamera-ready advertisementPDF, JPG, JPEG, or PNG. Maximum file size: 10 MB.

Submission Requirements & Acknowledgment

Camera-ready advertisements are accepted beginning August 9, 2026.

I confirm that all submitted content is authorized for publication and acknowledge the Tuesday, October 13, 2026 submission deadline.

Typed signature RequiredDate Required