Grants Pass Daily Courier
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Domestic Partnership Announcement Form

The Daily Courier publishes information about domestic partnerships at no charge for residents and former residents of Josephine County, Glendale and Rogue River. “Commitments” do not include a photograph. Announcements should be sent within three months of the ceremony. For more information, call Valerie Smith, 541-474-3823, or e-mail news@thedailycourier.com.

* Denotes Required Fields

person 1
Full Name:


Gender:  

City of residence:


Parents’ full names and city of residence:


High School attended and year graduated:


Further education:


Current employment / retired from what career:



person 2
Full Name:


Gender:  

City of residence:


Parents’ full names and city of residence:


High School attended and year graduated:


Further education:


Current employment / retired from what career:



the Ceremony
In which county did you register?


Date of registration:


Was there a separate ceremony? If so, when and where?


List up to four honored guests and their town of residence if you wish.



Contact Information - Submitted by:
Name: *  
Phone: *  
E-mail: *