The Derby Weekly Informer Anniversary Announcement Form

Husband (first, last name):

Wife (first, last name):

City of residence: State: Years Celebrating:

Type of celebration: Date: Time:

Place of celebration: Address:

Hosts for celebration:

Date of marriage(mm/dd/yy): Place of marriage:

Husband's type of work or title:

Retirement date: Company: Years of Service:

Wife's type of work or title:

Retirement date: Company: Years of Service:

# of daughters:    # of sons:     # of grandchildren:    # of great-grandchildren:

Children:

First Name
Last Name
Spouse
City
State

 

 

 

 

 

 

 

Grandchildren:

First Name
Last Name
Spouse
City
State

 

 

 

 

 

 

 

Great Grandchildren:

First Name
Last Name
Spouse
City
State

 

 

 

 

 

 

 

ADDITONAL INFORMATION

Contact person's name: and telephone number:

To send a photo, send an email to: informer@derbyinformer.com and attach the photo to it. Please use your name as the subject of the email.