Anniversary Announcement Form

December 02, 2008 11:32 am

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Order Fulfillment

HENDRICKS COUNTY FLYER TEXTsm.gif (5638 bytes)
Attn: Celebrations writer
8109 Kingston Street, Suite 500
Avon, IN 46123

WIFE

HUSBAND

Name: (maiden also)
* required field

Full Name:
* required field

Couples Address:
* required field

Email Address:

Year the couple was married:

Place couple was married:

Wife's employment, clubs, church and
memberships:

Husband's employment, clubs, church and memberships:

Names and city of residence of children:

Grandchildren:

Great-grandchildren:

Any additional information you'd like to submit - renew vows, party, etc.

Photo emailed: Yes No
To submit photos, send email to: Charlie Beasor or for questions phone (317) 272-5800 ext. 173.

PAYMENT INFORMATION:
Name as it appears on Credit Card:
Cardholder's City:
Cardholder's State
Cardholder's Zip:
Phone # of Cardholder:
Card Type:
Card Number:
Expiration Date:
3-Digit Security Code:	Please enter the 3-digit security code found on the back of your credit card within the signature field.
Total Amount:	$