Marriage Information / Request Form

In order for us to process this form you must have a valid email address, a date, time and location for your wedding as this provides a method to reach you and schedule your wedding.  Preliminary wedding information is acceptable.

How would you prefer to be contacted?
By phone please provide a number and the best day and time to contact you:

By E-Mail? Please enter your contact E-mail address: *

Wedding Date:    Time:   Place:   
Wedding City and State:                       *(required)

Bride's Full Name: * Age:   Marriage #:   Bride's Address:

Bride's Contact Phone:  *  Bride's Cell Phone:

Bride's E-mail Address            Bride's Occupation:

Bride's Religious/Spiritual Background:

Groom's Full Name: Groom's Age:      Groom's Marriage #:

Groom's Address:   Groom's Contact Phone: *  Groom's Cell:

Groom's Email Address:            Groom's Occupation

Groom's Religious/Spiritual Background:  

Number of Guests:    Number of Attendants:   Rehearsal:

Wedding Coordinator Name:    and Contact Phone

Other Information, comments and questions you have and particulars of your wedding details?

You will be contacted by Reverend Charles Grande
Information provided will be held in the strictest confidence