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Birth Announcement Form
This information will be used for a birth announcement in the Paynesville Press.
*Denotes required information.
*DATE TO RUN: _______________________________
*Contact Name ______________________ *Phone # ___________________
Person(s) announcing the birth: ___________________________________
*Baby Name ______________________________________
*Date of Birth ______________________________
*Born At ___________________________________
Height ________________ Weight __________________
*Parents’ Names _______________________________________
*Parents’ Town(s) _______________________________________
Other Children (Siblings to Newborn) _______________________________________
__________________________________________________________________________
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Local Grandparents? Great-grandparents? (List names/towns.)
For Press Staff *Submission Date _________ *Received by _______________
*Picture? YES or NO PAID/CHARGE/NO CHARGE
Billing Address ___________________________________________________________
PAYNESVILLE PRESS • P.O. Box 54, Paynesville, MN 56362 • FAX: 320-243-4492