There is no charge for publication of this announcement, but there is a $10 charge if you wish to have a photograph printed with the announcement (make check payable to W-R Independent). If you wish to have the photo returned, please include a stamped, self-addressed envelope of sufficient size. Mail this form (and your check & photo, if any) to W-R Independent, P.O. Box 242, Wood-Ridge, NJ 07075-0242, or place it in the dropbox in the foyer of 210 Hackensack Street.

If you wish to have copies of the edition in which your announcement appears, indicate at bottom of this form how many copies you need and enclose $.50 per copy when submitting your announcement. (you can add this to your $10 payment if a photo is enclosed).

Bride's Maiden Name____________________________________________________ Bride's Parents' name(s)/town(s) of

residence____________________________________________________________________________________________

Groom's Name_______________________________________________________ Groom's Parents' name(s) & town(s) of

residence____________________________________________________________________________________________

Date & Place of Wedding_______________________________________________________________________________

Location of Reception__________________________________________________________________________________

Maid / Matron of Honor (circle one)____________________________________ Attendants*_________________________

____________________________________________________________________________________________________

____________________________________________________________ Flower Girl*______________________________

Best Man____________________________________________________ Groomsmen*_____________________________

____________________________________________________________________________________________________

____________________________________________________________ Ring Bearer*_____________________________

Bride:(school(s) attended/year(s) of graduation & degrees, or being attended, including fields of study):________________

____________________________________________________________________________________________________

_________________ Place of Employment/Job Title__________________________________________________________

Groom:(school(s) attended/being attended/year(s) of graduation & degrees, including fields of study):__________________

_____________________________________________________________________________________________________

_________________ Place of Employment/Job Title__________________________________________________________

Honeymooned at______________________________________ Now Residing In___________________________________

[* Note: names only; please do not list relationships of attendants, groomsmen, flower girl or ring bearer to the bride & groom]
Check if applicable: I am enclosing $10 for a photo ___, and/or $.50 per copy for ___ copies of edition in which this announcement is published at $.50 per copy (total for copies: $________. Total Amount Enclosed (including photo charge): $________