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Outbound Message Request Form

Ministry:   Chairperson:
Name of Requestor:  
Requested Message Delivery Date:  
Requested Message:

Digital Signature of Requestor:   Date:
(enter full name)
NOTE:  All calls are 12 cents per call and requested message should not exceed 60 seconds.  Any message exceeding 60 seconds will be charged an additional 12 cents per call.  All request MUST be submitted two (2) weeks prior to message date.

It is the requestor's responsibility to submit name/phone number data base with request. The following data bases are standard:
Mt. Zion Total Membership     Mt. Zion Trustee Board     Mt. Zion Usher Board

Please use the below list

       Name:
  Phone Number(with area code):

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Enter your email address for an electronic copy:
 
(On submission this form will be emailed to the Church Secretary)

 
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