[an error occurred while processing this directive]		Please provide the information request in the form below, and then press the Place Announcement button at the bottom of the form. If you prefer to contact us by mail, send the requested information to the Jewish Bulletin, Life-Cycle Dept., 225 Bush St., #1480, San Francisco, CA 94104-4281 or by Phone: (415) 263-7200 Fax: (415) 263-7223. A $25 donation is requested. NOTE: Please list all women by their own first names, whether married, single or widowed (i.e. Ruth and Howard Cohen, not Mr. and Mrs. Howard Cohen). Parents' Names: State/County: Child's Name: Son Daughter Date of Birth: Names of siblings: Grandparents' first and last names, state and county: Great-grandparents' first and last names, state and county: Please provide your name, your daytime phone, and email address so we may call if we have any questions or need clarification. Name: Phone (day): Email: Special Instructions: NOTE: No notices will be printed if received more than three months after date of birth.

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