If you have a photo you would like published with this please email it first to editorial@kcchronicle.com separate from this form. Please remember to include your name and what picture is for.
Name of Couple*
Town
Couple will celebrate their wedding anniversary*
The couple will celebrate with a (family dinner, open house, other):
Date and Time
Location:
The Event is to be hosted by:
Relation of host to couple:
Wife's maiden name:
Husband's name:
The couple was married (date)
At (place of ceremony):
They first lived at (give address and town):
He (Select)
employed by (give name of firm and location):
As a (give job title)
He retired (give date if applicable)
She (select)
She retired (give date if applicable)
List any clubs, activities and hobbies the couple enjoys:
Number of sons:
Number of daughters:
List childrens names with city and state (spouse's names should be in parenthesis):
Number of grandchildren:
Number of great-grandchildren:
Number of great-great-grandchildren:
Submitted by:*
Phone Number:*
Email:*
All fields marked with * are required.
