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Birthday & Anniversary Listing Form

                             Mail to:  Syria Shriners, 1877 Shriners Way, Cheswick, PA  15024


                        Please list my 2018 Birthday in The Voice of Syria Publication
                        Name                                                            Age _______________
                        Address                                                  Birthday ___________
                        City, State, Zip                                          ________ Birth Year __________

                        Please list my 2018 Wedding Anniversary
                        Name                                              ______________ Wife’s Name _______________
                        Address                                                            # Years Married _______

                        City, State, Zip                                                  Wedding Date ________


    The Voice of Syria   December 2018                                                                                              13
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