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Name of Couple:
*
Address:
*
Couple will celebrate their wedding anniversary:
*
The couple will celebrate with a (family dinner, open house, other):
Date:
-
Month
-
Day
Year
Date
Time:
Hour Minutes
AM
PM
AM/PM Option
Location:
The event is to be hosted by:
Relation of host to couple:
Wife's maiden name:
Husband's name:
The couple was married:
-
Month
-
Day
Year
Date
At (place of ceremony):
They first lived at (give address and town):
He (select):
Please Select
Is
Was
employed by (give name of firm and location):
as a (give job title):
He retired (give date if applicable):
-
Month
-
Day
Year
Date
She (select):
Please Select
Is
Was
employed by (give name of firm and location):
as a (give job title):
She retired (give date if applicable):
-
Month
-
Day
Year
Date
List any clubs, activities and hobbies the couple enjoys:
Number of sons:
Number of daughters:
List childrens names with city and state (spouse's names should be in parenthesis):
Number of grandchildren:
Number of great-grandchildren:
Number of great-great-grandchildren:
Submitted by:
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Phone Number:
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Please enter a valid phone number.
Email:
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example@example.com
Please verify that you are human
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