Lebanon Reporter

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August 2, 2006

Birth Announcement Form

To ensure that a complete announcement of your child's birth appears in an upcoming edition of The Lebanon Reporter, please complete and submit this form. A quality photo of your newborn may be submitted in a separate e-mail. See instructions below. Birth announcements run in our Saturday edition. The submission deadline is the previous Thursday.

Parental Information:

Mother's Full Name: *required field




Mother's Maiden Name: *required field




Father'sFull Name: *required field




Couples Daytime Phone: *required field




Couples Address: *required field




BABY'S INFORMATION:
Full Name: *required field




Sex: *required field
Male Female



Date of Birth: *required field




Place of Birth: *required field




Length: *required field




Weight: *required field




Brother(s): Name and Ages




Sister(s): Name and Ages




Maternal Grandparents: (include town and state of residency)




Paternal Grandparents: (include town and state of residency)




Maternal Great-Grandparents: (include town and state of residency)




Paternal Great-Grandparents: (include town and state of residency)




Other Interesting Facts:




Information Submitted By: (name, relationship, phone number) *required field




PHOTO:
Photo submitted: Yes No
I will email photo.
I will drop off photo at The Lebanon Reporter.


To submit photos, send email to: news@reporter.net
Identify the subjects in the photograph in the Subject line of the email.
How many copies of the paper would you like?
(reserved papers must be paid for and picked up at The Lebanon Reporter office within 10 days)


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