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Anniversary

First & Last Names of Couple

Spouse 1's Former Last Name (if applicable)

Spouse 2's Former Last Name (if applicable)

Address

Number of Years Married

Celebration Plans

Celebration Given by

Date of Marriage

Place of Marriage

Married by

Spouse 1's Employment

Spouse 2's Employment

Is Spouse 1 Retired?

Yes

No

Is Spouse 2 Retired?

Yes

No

Number of Children (if any)

Children's Names

Number of Grandchildren (if any)

Number of Great-grandchildren (if any)

Submitted by *

Email Address *

Date Submitted

Daytime Phone *

Other Information (not for publication)

Are you attaching a digital photo or photos?

Yes

No

Wedding Photo (if available)

Maximum upload size: 516MB

Anniversary Photo (if available)

Maximum upload size: 516MB

Photographer's Name

Name and address for returning physical photos

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