Anniversary Page Information

NAMES OF COUPLE ___________________________________________________________________

ADDRESS _____________________________________________________________________________

YEARS MARRIED ________WEDDING DATE __________ LOCATION (City/State)__________________

RECEPTION (Date/Time/Location) _________________________________________________________

CARD SHOWER? ( ) YES ( ) NO

RECEPTION HOSTS (If other than children listed)

Name ___________________________________________ City/State ____________________________

CHILDREN & CHILDREN'S SPOUSES (Attach additional sheet if needed)

Name ___________________________________________ City/State ___________________________

NUMBER OF GRANDCHILDREN _______ NUMBER OF GREAT-GRANDCHILDREN ______________

WIFE'S MAIDEN NAME ________________________________________________________________

COUPLE'S PRIMARY RESIDENCE (City/State) _____________________________________________

COUPLE'S EMPLOYMENT INFORMATION: (Attach additional sheet if needed)

PHOTO ENCLOSED ( ) YES ( ) NO
(SMG, will return photo ~ please print names on back of photo)

FORM COMPLETED BY _________________________________________________

PHONE NUMBER ________________________________________

PLEASE RETURN TO: SALINA MEDIA GROUP, INC, POST OFFICE BOX 80
SALINA, KANSAS 67402-0080 FAX: 785-823-2034
****FOR QUESTIONS OR COMMENTS, PLEASE CALL 785-823-1111****