| Please choose which weekend you would like to attend? |
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| First Name (Husband): |
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Last Name (Husband): |
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First Name (Wife): |
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Last Name (Wife): |
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Street Address: |
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City: |
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State: |
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Zip Code: |
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Phone Number: |
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Cell Phone Number: |
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Email Address: |
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Anniversary Date: (Month/Day/Year of your wedding) |
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Faith Expression (Husband): (For example: Catholic, Methodist, no faith expression, etc.) |
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Faith Expression (Wife): |
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Name of Church: |
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Special Needs: (Diet, handicap, food allergies, medical concerns, nonsmoking, etc.) |
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How did you hear about us?: |
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Please confirm the date you would like to attend
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How would you like to pay?: |
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Please review all information and then press the Submit button. The next screen will give you the option to send your payment via PayPal or if paying by check the address information will appear for your reference. |