Mineral Wells Index, Mineral Wells, TX

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February 10, 2006

Anniversary Form

Fields marked with an asterisk (*) are required.

*E-mail address:

*Which anniversary:

*Couple's name:

*Date of celebration:

Type of celebration (open house, reception, family gathering):

Place of celebration:

Hosts of celebration:

*Wife's maiden name:

*Date and place of wedding

*How long have the couple lived in this area:

His/her employment including military:

Service since the wedding/before they retired:

Church or clubs and organizations the couple is actively involved in:

What do they actively enjoy doing now?:

Name of couple's children and city/state of residences:

Number of grandchildren:

Number of great-grandchildren:

* Name of person who can be reached for more information:

* Daytime phone:

* Email address:

If sending a photo, how will it be sent?

Current Photo:

Wedding Photo:

* To ensure publication, contact information including name and daytime phone number is required.

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