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Birthday Announcement:
Please enter your birthday announcement below:
* Required Fields
Person's information
First name of honoree:
*
Last name of honoree:
*
Date of Birth:
*
Age on Birthday:
*
Parents:
Married:
Is spouse living?:
Yes
No
If no, date of spouse's death:
Children (and spouses):
Affiliations & Interests
Job, church and club affiliations:
Any additional interests:
Celebration
Type of celebration planned:
Date of Celebration:
Time of Celebration:
Place of Celebration:
Announcement
Date to run the birthday announcement:
*
Photo
Please choose a method to submit your photo:
Mailing photo
Attaching photo via this form
Not sending photo
Attach photograph in JPEG/JPG format:
(File size limit is 5MB)
Choose a file
Mail photo to:
Buffalo Reflex
114 E. Lincoln Street P.O. Box 770
Buffalo, MO 65622
Contact Information
First Name:
*
Last Name:
*
Phone:
*
E-mail:
(A valid e-mail is required.) *
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