Birthday Information Form

The Dispatch
1720 5th Ave.
Moline, IL 61265
(309) 764-4344


  • Please list the publication date you prefer.
  • Birthday information should be submitted at least two weeks in advance of the celebration date.
  • Please call (309) 757-4964 or (309) 757-4959 after submitting the form online to confirm your request.
  • The first 15 lines of your announcement are free for 75th-year-birthdays and those every five years thereafter. Additional lines are $3.75 each. Announcements for any other year not divisible by five are $3.75 per line. Birthdays for people 100 years and older are free with either small or medium black and white photo.
  • A representative of the newspaper must call you, read your announcement to you and provide an estimated cost. Wording and estimate must be approved before it is published.
  • Small photographs (7/8 by 1-1/4 inches).
  • Medium photographs (1-1/4 by 1-7/8 inches).
  • Small or medium color photos cost an additional $30.
  • If a photo is to be used, it must be sent to The Dispatch or submitted via email (see below).
  • Photos sent through the postal service must be sent at the same time that this form is submitted.
  • If you don't have a photo, you can arrange to have one taken in the studio of The Dispatch by calling the telephone number above.
  • Give full, formal names and complete addresses.



  • Give full, formal names and complete addresses.


  • Information must be submitted at least two weeks prior to the date of the birthday.


Birthday Information
Name
Birthday being noted
Date of birth
Address
City
State
Zip
 
Observance Information
Type of observance planned
(open house, family dinner, etc.)
Time
Date
Place
Do you wish us to say relatives and friends are invited? Yes   No
Additional comments
 
Marriage Information
Maiden name of wife
(or person being honored if a woman)
Hometown at time of marriage
Husband's name
Hometown at time of marriage
Date of marriage
Place of marriage
(Include city & state)
Is spouse still living?
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
Position
If retired, when?
Previous employment
(optional)
Church membership
(name of church, city & state)
Additional Information about the birthday
 
 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
Dispatch/Argus photo in our file


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 6 lines to the announcement).
Medium, in black and white (adds 11 lines to the announcement).
Small, in color (adds 6 lines to the announcement plus $30 surcharge).
Medium, in color (adds 11 lines to the announcement plus $30 surcharge).
 
Billing Information
Billing Name
Address
Daytime Phone
Home Phone
City
State
Zip
Email Address
Desired Publication Date
 
Please fill in the security code below
Your The Form is Now Complete!
  


Local events heading








  Today is Sunday, April 20, the 110th day of 2014. There are 255 days left in the year.

1864 -- 150 years ago: The attention of contractors is called to proposals for building a magazine. The building is to be erected on the south side of the island, above the railroad, nearly opposite Sinnit's ice houses.
1889 -- 125 years ago: Ladies patent leather tip shoes were selling for $3 at the M & K store, and men's spring overcoats were advertised at $7.50.
1914 -- 100 years ago: Fred Feuchter, of Davenport, was elected president of the Tri-City Post Office Clerks club, and Joe Goldsmith, of Rock Island, was named secretary treasurer.
1939 -- 75 years ago: Mass vaccination of more than 1,600 employed of the Rock Island Arsenal has been ordered by Col. Norman Ramsey after a 13-year-old daughter of the Arsenal manager became ill with smallpox.
1964 -- 50 years ago: The 1964 Scout-O-Rama of the Sac-Fox Council of Boy Scouts closed a two-day session last evening at the Rock Island Armory with 5,000 paid attendance.
1989 -- 25 years ago: "From the horse and buggy days ... to this" said Mercer County Sheriff Marvin Thirtyacre, waving his hand to indicate the sheriff's department facilities at the new $1.5 million Mercer County Jail in Aledo.




(More History)