Birthday Submission Form

1.Please submit any photos to Images should be in .jpeg or .gif format. Recommended image size is 640x480 and file size should be less than 2mb per photo.

Please fill out the form below to submit your Birthday Announcement.
First and Last Name*
Birth Date*
3.Your Contact Information - Please provide your email address in case we need to verify any information that has been submitted.
First Name* M.I. Last Name*

Email Address* Daytime Phone* Evening Phone*
4.Your Address
Street Line 1*
Street Line 2
Zip Code*
5.Please enter your date of birth.
Month* Day* Year*
6.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
* represents required fields
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