Name and place of residence of anniversary couple:

Wedding date of couple:

Place where wedding took place:

What type of party is being given?

Who is giving/gave the party?

Date, time and location of the party?

Please supply the names and place of residence of the couples children.

Number of grandchildren and great-grandchildren.

History of the couple(places lived, occupations, interesting facts)

Please provide a name and telephone number of a person we can contact for verification and/or questions regarding this announcement.
REMEMBER THIS IS A REQUIRED FIELD AND MUST BE FILLED IN FOR PUBLICATION.

            Name 
      Work Phone 
      Home Phone 

I would also like this announcement published in the Molalla Pioneer   Yes No
I would also like to have this announcement published in the Wilsonville Spokesman     Yes No

Pictures are welcome and can be e-mailed to cherald@eaglenewspapers.com or
they can be dropped off or mailed with a copy of this form and a self addressed return envelope to  the
Canby Herald,  241 N. Grant Street, Canby, Oregon  97013.