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Black love lives layout
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M. Mike & Linda McNair
Making
Love Last
Consistent with this years theme of “Black Love Lives” the publishers are encouraging participation in the celebration of love and
relationships. If you wish to featured along with your spouse or significant other, please answer the questions below and turn this
form in to a particpating Beauty Parlor, Barbershop or Church. You can also email it directly to [email protected],
“ATTN: Black Love Lives” We can arrange for a photo of the couple or you can provide one that you prefer for a future publication.
Name________________ (age)_________
Name________________ (age)_________
Number of months/years dated
Number of months years/married
If you’re not married but live together record time to-
gether
What He likes about
her________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
____________________________________
What she like about
him________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
_____________________________________
His advice to others on How to make love
last________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
_________________________________
HER advice to others on How to make love
last________________________________________
___________________________________________
___________________________________________
___
Real names please
Address_____________________________________
___________________________________________
His Phone &
email_______________________________________
___________________________________________
Her phone___________________________________
Email_______________________________________
Number/ages of children (names optional)
Together:____________________________________
___________________________________________
___________________________________________
___________________________________________
Separately:__________________________________
___________________________________________
___________________________________________
___________________________________________
If you like to particpate in a future forums on “Making
Love Last” on television, newspaper or Internet, or re-
ceive emails sponsored by the Buckeye Review and
Show Your Love please indicate by checking the box
I ________________ , hereby grant permission to
have my image and comments published in the Buck-
eye Review and on it’s website.
Print Name__________________________________|
Signature___________________________________
Send photo via email along with copy of this form to
[email protected]. Or P.O. Box 287,
Youngstown, OH 44501
Thank you for your particpation.
___________________________________