Author: Michael

Souvenir Journal Order Form

[Archdiocese Convention/ [DIOCESE]
Parish Life Conference]
[DATES]
Hosted By: [HOST PARISH(ES) NAME]
[HOST PARISH MAILING ADDRESS AND CSZ]
[PHONE]
[EMAIL] ‡ [WEBSITE]

Souvenir Journal Deadline: [DEADLINE]

In order to make this Souvenir Journal one which you will enjoy keeping and referencing for years to come, please provide us with your text in the space below, or email us your camera ready artwork: High Resolution PDF ONLY (minimum of 300 DPI/Resolution). Place a message in honor of or in memory of a loved one, or sponsor a page.
I would like to Sponsor a Page, please include the following text
Please design my message using the text below and any photos I have emailed: [EMAIL]
I will email a camera ready message (High Resolution PDF—300 DPI/Resolution)
Anonymous Donor

SIZE AREA INSIDE MARGINS DONATION (USD)
Center-Fold Spread 7½” x 10” $XXXX.00
Back Cover 7½” x 10” $XXXX.00
Inside Back Cover* 7½” x 10” $XXXX.00
Inside Front Cover 7½” x 10” $XXXX.00
Full Gold Page 7½” x 10” $XXXX.00
Silver Page 7½” x 10” $XXX.00
Full White Page 7½” x 10” $XXX.00
Full White Page for Parishes/ 7½” x 10” $XXX.00
Half Page 7½” x 5” $XXX.00
Quarter Page 33/4” x 5” $XXX.00
Eighth Page 33/4” x 21/2” $XXX.00
Business Card 33/4” x 21/2” $XXX.00
Name Listing $XXX.00
Name __________
Company
Address
City, State, Zip Code
Telephone _______________________________________________________________
E-mail
Diocese: ________________________________________________________________
Parish Name: ____________________________________________________________
Parish City: ________________________________________ Parish State: __________

Please write your message here or attach copy.
Include at least how you want your name(s) to read.

____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________

I acknowledge and understand that all charges and/or donations are non-refundable, as further set forth in the Privacy Statement at www.antiochianevents.org/privacy/XXX, and, unless I have enclosed a check with this form, I hereby authorize the Antiochian Archdiocese [Archdiocese Convention/[DIOCESE] Parish Life Conference], to charge the credit card below. All credit charges will appear on your credit card statement as Antiochian Archdiocese.
Payment Options (Check one):
AMEX Discover MasterCard Visa Check/Cash
Credit Card No: ___________________________
CVV2: _______ Exp. Date: __________ Amount: $______ (USD)
Signature Date:_______________
Signature required for all forms; Unsigned forms will not be processed!

Please complete the information above. Make check payable to: “[HOST PARISH]” and mail to the above address. For all credit card payments the name and address on this form must match the name and address on the credit card billing statement. All Souvenir Journal Contributions are tax deductible. Online registration available at (including uploading artwork/message): [WEBSITE]