Sunday, August 25, 2019
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Please complete this form to submit a Photo Birth Announcement.

Upon submission you will be taken to our ecommerce form to submit payment for $17.00.

Birth Date:
First Name:
Middle Name:
Last Name:
Place of Birth:
Mother's First Name: * required
Mother's Last Name
Father's First Name: * required
Father's Last Name:
Parents' Residence:
Maternal Grandmother's Name:
Maternal Grandfather's Name:
Maternal Grandparents Residence:
Paternal Grandmother's Name:
Paternal Grandfather'sName:
Paternal Grandparent's Residence:
Upload Photo Here:
In case we have questions:
Submitter Name: * required
Submitter Phone Number: * required
Submitter Email * required
Thank you for your submission.

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