Birth Announcement Form

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DATE TO RUN: _______________________________ Contact Name ______________________ Phone ___________________ Person(s) announcing the birth: ___________________________________ Baby Name ______________________________________ Date of Birth ______________________________ Born At ___________________________________ Height ________________ Weight __________________ Parents’ Names _______________________________________ Parents’ Town(s) _______________________________________ Other Children (Siblings to Newborn) _______________________________________ __________________________________________________________________________ __________________________________________________________________________ Local Grandparents Great-grandparents (List names/towns.) For Press Staff Submission Date _________ Picture YES or NO Received by _______________ PAID/CHARGE/NO CHARGE Billing Address ___________________________________________________________ PAYNESVILLE PRESS • P.O..


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