Birthday Announcement

Please enter your birthday announcement below:

Name of honoree: Hometown of honoree (city & state): Age: Type of event (family dinner, open house, etc.): Location of event, including city:

Date of event:

Time of event:

Is the event by invitation only?

Yes

Do you wish to include "All family and friends are invited to attend"?

Yes

Do you wish to include "No gifts, please"?

Yes

Location and date of birth: Maiden name (if applicable): Name of spouse (if applicable):

Date of marriage:

Location of marriage:

He/She is/was employed by: Retired? (If so, enter year) Honoree's memberships, affiliations and interests: Children (and spouses - include city and state of residence): Grandchildren (first and last names only): Number of Great-grandchildren:

Submitted by:

Daytime phone:

Photo

We will publish your photos in black and white at no extra charge. Please choose a method to submit your photo:

Mailing photo

Attaching photo via this form

Not sending photo

Attach photograph in JPEG/JPG format: (File size limit is 5MB) Choose a file

Mail photo to:
West Liberty Index
214 N. Second Street
Eldridge, IA 52748