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Publicity & Online Registration Request Form

All Publicity & Online Registration Requests are pending approval by appropriate staff persons. You will be contacted if there are questions regarding your publicity request.

Type of Request

Check all that apply. Once you have chosen the type of request, the appropriate questions will appear.

Publicity

Online Registration

Publicity Requested By:(Required)

First Last

Email(Required)

(for publicity contact person; this address will receive a confirmation e-mail upon submission of the form)

Phone(Required)

(for publicity contact person)

Ministry(Required)

(Choose from Drop Down)

Event Details

Event Name/Announcement Title(Required)

Event Date (or start date, if multiple days)

MM slash DD slash YYYY

Event Start Time

Hours

Minutes

AM/PM

Event End Date (if multiple days)

MM slash DD slash YYYY

Event End Time

Hours

Minutes

AM/PM

Have graphics already been created for this event?

(If yes, please see below for file submission information.)

Yes, I have pre-created graphics/documents

No, I need graphics/documents designed for my event

I am unsure

Pre-Exisiting Publicity Material Upload

If you have pre-created publicity material for the event in question, you may upload one file here. Other pre-created content will need to be provided to the office staff via email or in-person submission.

Max. file size: 200 MB.

Additional Event Information

Event details, description, further information regarding above selections.

Publicity Details

Type of Publicity

Please check all that apply.

Bulletin Ad

Weekly Email

Announcement Slides (to be used in applicable settings)

Website: New Home Page slide

Website: New Ministry Page slide/information

Website: Pre-existing Information Update

Posters

Invitations/Cards

Flyers (half-sheet)

Foyer Display Table

Outdoor Vinyl Banner

Outdoor Digital Sign

Other

Requested Publicity Start Date (for printed materials/signs/etc)

MM slash DD slash YYYY

Requested Publicity End Date (for printed materials/signs/etc)

MM slash DD slash YYYY

Display Table Location

(Choose from Drop Down)

Display Table Start Date

(if using a display table in one of the foyers)

MM slash DD slash YYYY

Number of Posters Needed

Please enter a number from 0 to 500.

Number of Flyers Needed

Please enter a number from 0 to 500.

Account # for Printing Costs

(to be used for cost of printing/color copies, if needed)

Online Registration Details

Account # for Online Registration Deposits

Event Cost:

A 2.15% fee will be added on top of the Event Cost to cover online processing fees (and a break down of cost/fees provided in Event Description for registrants). An option will be provided for in-person registration to avoid the processing fees.

Event Deposit (if applicable)

Deposit/Registration Deadline

MM slash DD slash YYYY

Additional Information to Collect on Registration Form

Please provide a list of any additional information (other than name) that you would like collected on registration form.

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Phone

This field is for validation purposes and should be left unchanged.

Contact Us

Phone: (757) 867-8082

Fax: (757) 867-7254

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Bethel Baptist Church
1004 Yorktown Road
Yorktown, VA 23693

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