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Sat, Nov 21 2009 

Published: May 28, 2008 11:19 pm    print this story  

>> Golden Years Form



Golden years form
*Use this form to announce a birthday of an adult over 80 years or more

Name of person turning 80 or more:

City/state in which person resides:

Date of birth (DD/MM/YYYY):

Age of person after birthday:

Date/Time/Location of celebration:

Employment, Church and Clubs:

Maiden name of person (if applicable):

Where is person originally from:

What is the name of person's spouse:

How many children did this person have:

Names and hometowns of children:

How many grandchildren did this person have:

How many great-grandchildren:

Contact name and phone number:

E-mail address: (Not for publication. Please include so we can confirm receipt of your submission)

If sending a photo, how will it be sent?

Submit a photo (LESS THAN 5MB):

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