Print and Mail Form
All information provided on the top part of this form is for contact purposes only, it will not be released, shared or published unless otherwise submitted.
I, _____________________________________, am submitting the attached information to be published. Permission is given to the compilers (Carrie and Fredrea Cook) to print this information in the earliest possible Ottawa County Families Volume. The compilers have permission to edit the information for grammar, spelling, and space available.
Number of sheets attached:
Name: _____________________________________________ Email: __________________
Address: _______________________________ City, State: ______________ Zip:______
Phone: ____________________________________ FAX: ________________________
Number of Photos (not required) @ $15.00: ________ Total enclosed: $____________
If the blank does not apply to you, please write n/a
Where and when born
Where living (Afton or near Lost Creek, etc.)
Community activities/organizations (Hospital Volunteer, VFW, Little Theatre, MHS Baseball, etc.)
Family Names and/or Ancestry
Website address (URL)
Blog address (URL)
Social networking addresses (URL)
Ottawa County People, Place or Thing Stories -
"Back in the day.."
"We lived at.."
"The folks at church.."
"My best friend was.."
"Local volunteer work.."
"___________ (organization) did.."
"When ____________ went to war.."
"Growing up on Route 66.."
"Our sports record for the year.."
"School days were.."
Approved contact information such
as post office box addresses, dedicated email, etc.
Page Last Updated: February 13, 2013
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