Current Residence *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Are you a Born Again Christian? *

Yes

No

Residence After Marriage *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you been previously married? *

Yes

No

Are you divorced? *

Yes

No

Current Residence *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Birth *

MM

DD

YYYY

Are you a Born Again Christian? *

Yes

No

Residence After Marriage *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you been previously married? *

Yes

No

Are you divorced? *

Yes

No

Best Man's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Maid/Matron of Honour's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Wedding Requested *

MM

DD

YYYY

Time of Wedding Requested *

Hour

Minute

Second

AM PM

Date of Rehearsal Requested *

MM

DD

YYYY

Time of Rehearsal Requested *

Hour

Minute

Second

AM PM

Time of Reception *

Hour

Minute

Second

AM PM

We, the Bride and Groom, have completed this Information Request Form in its entirety. And have read and agree to the Requirements & Guidelines Document above. *

Yes

No