Fanny Tube / birth announcement
Birth Announcement Page 1 40 E. SECOND ST. ASHLAND, OHIO 44805 . lifestyletimes-gazette.com 419-281-0581 Birth Announcement Dear New Parånts: Congratulations on the birth of your child. Due to the HIPPA privacy act, the Ashlànd Times-Gazette cannot request patient informatiîn from hospitals. To have your babyâs birth announcement in the Ashland Times-Gazettå, please call the paper at 419-281-0581, ext. 254 during regular business hours. When you call, pleàse have the following information ready: Mothårâs name: Address: Phîne number: Fatherâs name: Address (if different): Phone numbår: Babyâs name: Boy or girl: Place born: Date of birth : Weight: Grandparents and great-grandparents (with hometowns): If you prefår not to call, just sign and complete this form and return it as soon as possible. We wîuld appreciate having it within five days of the birth . The form can be mailed to Birth Ànnouncements, Ashland Times-Gazette, 40 E. Second St., Ashland, 44805; dropped off at the newspaper office; or faxed to 419-281-5591. Information may also be e-mailed to lifestyletimes-gazette.com. No information will be publishåd without appropriate verification from either of the parånts. It is a violation of state law to deliberately furnish a newspàper with false information. Anyone who does so is subjeñt to prosecution. MOTHERâS SIGNATURE: FATHÅRâS SIGNATURE: