LIFE
Anniversary Information Form

• Give full, formal names (NO NICKNAMES), and complete addresses.



• Information must be submitted at least two weeks before the anniversary event.

Anniversary Information
Anniversary being noted
Couple's name
Couple's Address
City
State
Zip
Event Information
To be honored at event? (open house, family dinner, surprise party, or reception)
Time
Date
Place
Are all relatives and friends invited?	Yes   No
Will gifts be permitted?	Yes   No
Additional comments
Marriage Information
First name and maiden name of Mrs.
Her hometown at time of marriage
Husband's hometown at time of marriage
Date of marriage
Place of marriage (church, parsonage, temple, private home, etc. include city and state)
Children's names and hometowns (use married daughters by their own first names)
Number of grandchildren
Number of great-grandchildren
Additional Information
Place of employment of Mr.
Position of Mr.
If retired, when?
How long employed there?
Place of employment of Mrs.
Position of Mrs.
If retired, when?
How long employed there?
Church membership of couple (name of church and city)
Additional Information about the anniversary
Photograph Information
Photograph Submitted?
Tiff or jpeg file sent to: socialnews@qconline.com
File on my computer:
Made arrangements for a photo taken by the Dispatch/Argus
Mailed to The Dispatch/Argus.  Photographs submitted via regular mail must be accompanied by a self-addressed, stamped envelope if desired to be returned.
No, I am not submitting a photograph.
I would like my photo to be published:
Small, in black and white (adds 11 lines to the announcement).
Large, in black and white (adds 30 lines to the announcement).
Small, in color (adds 11 lines to the announcement plus $30 surcharge).
Large, in color (adds 30 lines to the announcement plus $30 surcharge).
Billing Information
Billing Name
Address
Daytime Phone
Home Phone
City
State
Zip
Email Address
Your Anniversary Form is Now Complete!