ANNIVERSARY SHOW
FILL IN THE BLANKS BELOW IF YOU HAVE AN ANNIVERSARY THIS WEEK. (THE WEEK BEING SATURDAY THROUGH FRIDAY) THE PRIZE IS AWARDED EACH FRIDAY
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NAME OF COUPLE *
CITY YOU LIVE IN *
DATE OF ANNIVERSARY *
MM
/
DD
/
YYYY
NUMBER OF YEARS MARRIED *
EMAIL ADDRESS *
PHONE # *
Submit
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This form was created inside of Southern Stone Communications.