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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 buckeyereview@yahoo.com, “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 together 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 receive 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 Buckeye Review and on it’s website. Print Name__________________________________| Signature___________________________________ Send photo via email along with copy of this form to buckeyereview@yahoo.com. Or P.O. Box 287, Youngstown, OH 44501 Thank you for your particpation. ___________________________________

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