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NEWSROOM * CIRCULATION * ADVERTISING

CONTACT US MANAGE ACCOUNT SUBSCRIBE

Friday

August 2014

1

Birth Submission Form

Let us know about the new arrival in your family for free publication in the newspaper of your choice.

1.Enter information about your immediate family here:
Mother's Name*
Father's Name*
Town of Residence*
Baby's Name*
Baby's Sex*
Date of Birth*
Time of Birth*
Weight/Length*
Hospital
Siblings
2.Enter information about extended family here:
Maternal Grandparents' Names
Maternal Grandparents' Town of Residence
Paternal Grandparents' Names
Paternal Grandparents' Town of Residence
Maternal Great-grandparents
Maternal Great-grandparents' Town of Residence
Paternal Great-grandparents
Paternal Great-randparents' Town of Residence
3.Contact Information
Name of Person Submitting Request*
Phone Number*
E-mail*
4.Comments or notes
5.In which paper(s) would you like your birth announcement published?*
Lake Country Reporter
Oconomowoc Focus
Sussex Sun
Kettle Moraine Index
Mukwonago Chief
Waukesha Now

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