Information on this form will be published one time in the Charles City Press for $7. We will contact you to arrange payment. Payment must be made prior to publication.

1st spouse's name*
2nd spouse's name*
Previous surname (if changed)
Couple's address
Anniversary date
Years married
Where married (venue, city, state)
Type of celebration
Celebration date
Celebration hours
Celebration location
Mailing address for card shower
Children's names & home towns
Number of grandchildren
Number of great-grandchildren
Number of great-great-grandchildren
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Contact Information -Your contact information will not be published.

Mailing address:*
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