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Birth Announcement Form

The Daily Courier publishes Birth Announcements at no charge. Just fill out the form below and submit it, we'll fit it in as soon as we can. For more information, call Valerie Smith, 541-474-3823, or e-mail news@thedailycourier.com.

* Denotes Required Fields

Place of Birth: *
Date of Birth: *
Born to: *
City of Residence: *
Gender: *
Name: *
Weight: *
Contact Person: *
Contact Phone: *
Contact E-mail: *