The Muskegon Chronicle extends it best wishes to you on your wedding anniversary, Please fill out this form in full to assure that the information we print ins accurate.

If you will be using the information as an open house invitation, the form should be submitted two weeks prior to the party date. In all other cases, the form should be submitted two weeks prior to the anniversary date.

If a picture is desired, a professional black and white portrait is preferred. However, a color snapshot or portrait can be used but does not reproduce as well. If submitting a photo from a professional photographer, you must submit the Photo Republication Notice form, completed by the studio. Please print your name and address on the back of your photo.

Circle or check where applicable.

Are you submitting a picture with this form? Yes ____ No ____

Names (include wife's first name)

Address

Wedding date

Years married ______________

How will you celebrate?

Where

Date and time (if applicable)

Should the open house be listed in the announcement?
Yes _____ No _____

Would you like a request for no gifts in the announcement?
Yes _____ No _____

Woman's maiden name

Woman's employment

Currently employed or retired (Circle one)

Man's employment

Currently employed or retired (Circle one)

Number of children _________

Number of grandchildren _________

Number of great-grandchildren _________

Information submitted by:

Daytime phone number:

Today's date:

Complete the information and mail or bring to

The Chronicle
981 Third St
PO Box 59
Muskegon, MI 49443

or

The Chronicle Tri-Cities Bureau
213 Washington
Grand Haven, MI 49417

Submissions may also be faxed to (231) 722-2552.