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October 22, 2017
Submit Birthday
Submit your birthday here.
Person's name * required
Type of celebration planned
Time, date and place
Born (date, place)
Age on birthday
Parents
Married (date, spouse's name)
Is spouse living?
If no, date of spouse's death
Children, their spouses and city/state where they reside
Job, church and club affiliations
Any additional interests
Name and phone number of person filling out the form
Date to run the birthday announcement * required
Photo attachment
Total limit: 1024KB
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