Wilmore-Dixon Family Legacy Book Page Order Form
You are creating your family page
Enter information as you would like to see it in the book
This publication will only be distributed to family members
Name
*
First Name
Last Name
Email
*
example@example.com
All information below will be added to the publication. Pages are $30 each and include a copy of the book
This information will only be viewable to persons who purchase a book and will not be available on line to anyone. We encourage you to enter your information so family members can contact you if needed.
Do you want to use the same page from 2023?
Please Select
Yes
No
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Add a picture of yourself for your Profile (1 Picture only)
*
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Please share some information about your family that will be published in the book.
Marital Status. If married, what is your Spouse's Name (or your significant other)
Your Children's names
Your Grand Children's names:
Education
Would you like to share your occupation and significant accomplishments?
Hobbies and Interests:
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Grand Parents in the Wilmore-Dixon family:
Parents:
Siblings:
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Now you can upload pictures that will go on your page. We have a limit of 4 small pictures. If you have larger pictures, we can accommodate them, however, remember we need to fit all of your pictures on 1 page. You will load the pictures one at a time.
Photo 1
*
Name of the person/people in the picture
*
Picture 1 is uploaded. Do you have more pictures
*
Please Select
Yes
No
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Photo 2
*
Name of the person/people in the picture
*
Picture 2 is uploaded. Do you have more pictures
*
Please Select
Yes
No
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Next
Photo 3
*
Name of the person/people in the picture
*
Picture 3 is uploaded. Do you have more pictures
*
Please Select
Yes
No
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Photo 4
*
Name of the person/people in the picture
*
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The price for your page will be $30. How will you be paying for your page
*
Please Select
Zelle - Send to - 443-850-0606
CashApp - Send to - 443-850-0606
Check - send to Wilmore-Dixon Reunion, 5707 Stonington Avenue, Gwynn Oak, Maryland 21207
Thank you for submitting your page
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