* Required fields

*Childs Name:

*Parents:

*Parents Address:

*Date

*Time

*Hospital

*Hospital Address

*Maternal Grandparents

*Paternal Grandparents

*Siblings

*Weight
LBS OZS
*Length

Submitted for the Enterprise-Courier
One Column (2") Picture ($2.69)
Two Column (4") Picture ($5.37)

Submitted for the East Prairie Eagle
One Column (2") Picture ($2.69)
Two Column (4") Picture ($5.37)

Submitted for both papers
One Column (2") Picture ($5.38)
Two Column (4") Picture ($10.74)

Before submitting this form please email picture in .jpeg format to: kbone@enterprisecourier.com; Announcement will not run until picture is received. (Unless no picture is requested)

Billing Name and Address for Picture Charge (Please include phone number - phone number must be include incase any information needs to be verified):