Name of Couple & Hometown:

Date of Anniversary:

Date of Reception:

Time & Place:

Hosts:

Short History of Couple (maiden name, place married,
occupations, children, places lived, etc.):

Other Comments:

Name of Person Submitting Form:

Email Address:

Phone Number:

If you need to submit a picture, please send it as an attachment
to The Clinton Daily News with the name of the couple
as the subject.