November 15, 2019

Submit Birthday

Submit your birthday here.

Person's name *

Type of celebration planned

Time, date and place

Born (date, place)

Age on birthday

Parents

Married (date, spouse's name)

Is spouse living?

Yes

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 *

Photo attachment

Submit

Search only accepts letters and numbers.

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Russellville KY, 42276

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