Please print and complete. Print neatly or type. Return this form with a check or money order for $30 to the address listed below. On the 50th anniversary and at 5-year intervals thereafter, both a wedding photo and a current photo may be published for a cost of $35. Announcements will be written from information provided and printed as space permits.
Observer-Reporter
Lifestyles Department
122 S. Main St.
Washington, PA 15301
Photographs: Please enclose a photograph of the anniversary couple with this announcement. It will be returned only if a self-addressed, stamped envelope is provided and the name and address are written on the back of the photo. Photos also may be picked up in the Lifestyles Department up to six months after publication.
| Name of the couple | |
| Address | |
| Date of the wedding | |
| Location of the wedding | |
| How anniversary is being celebrated:
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| Children and their addresses
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| Grandchildren (names only)
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| Great-grandchildren (number only) | |
| Affiliations and employment
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| Signature | Daytime phone no. |