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Order Form

Type of Announcement: ___ Birth ___Birthday ___Engagement ___Wedding ___Anniversary ___Other___________________

Your contact information: Name Phone (day) Email address to receive a proof: Mailing address: City State (evening)


Please indicate the Sunday and aternative Sunday on which you would like your announcement to be published. There is limted space available each week. Your announcement is guaranteed to be published on one of the two dates that you have indicated. The weekly deadline is Monday prior to the preferred Sunday of publication. Preferred Sunday Alternative Sunday mm/dd/yyyy mm/dd/yyyy

Contact us for pricing for days other than Sunday!

Choose from one or more of these options:

Announce ment size choices:

Estimated Estimated Pricing (choose *** Add my 10 keepsake amount of amount of one) TelegramTown! laminated characters with characters bookmarks of photo without photo your notice $45.00 $45.00 $45.00 $45.00 $45.00 $45.00

1x1 Incl. B&W photo 100 200 $25 $5.50 1x3 Incl. B&W photo 350 450 $54 $16.50 2x3 Incl. color photo 350 550 $99 $33 1x6 Incl. color photo 700 800 $99 $33 2x6 Incl. color photo 1100 1600 $174 $66 3x6 Incl. color photo 2000 3000 $261 $99 ***TelegramTown edition choices (please circle one if choosing this option): Auburn, Berlin, Bolton, Boylston, Brookfield, Clinton, Douglas, Dudley, E. Brookfield, Fitchburg, Gardner, Grafton, Holden, Lancaster, Leicester, Leominster, Lunenburg, Millbury, N. Brookfield, Northboro, Northbridge, Oxford, Paxton, Princeton, Rutland, Shrewsbury, Southbridge, Sutton, Uxbridge, W. Boylston, W. Brookfield, Webster, Westboro, Westminster, Worcester Check here if you would like us to call you for a credit card payment Mail form, Announcement copy, photo and payment made out to Worcester Telegram & Gazette to: Attention: Celebrations, Telegram & Gazette, PO Box 15012 Worcester, MA 016150012 (Note: We will make every effort to return your photo, but cannot guarantee it's return) For more information please email [email protected] or call us at (508)7939226. Please attach text on separate piece of paper.

Send me 10 Add across copies of the for total: T&G from the day of my announcement $10 $10 $10 $10 $10 $10


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