Services Requested *

Check all that apply. Please note these are recommended rates and I will try to work with any budget.

Officiate ceremony - $400

Pre-marital counseling - $200

If selecting pre-marital counseling, are you able to commit to at least four 1-hour sessions before wedding day? *

(Preferably one per week)

Yes

No

Bride's Name *

First Name

Last Name

Bride's Phone *

(###)

###

####

Groom's Name *

First Name

Last Name

Groom's Phone *

(###)

###

####

Have you applied for a marriage license? *

Yes

No

Date of Ceremony *

MM

DD

YYYY

Time of Ceremony *

Hour

Minute

Second

AM PM

Ceremony Address *

Please list name of venue in address 1 or 2 field

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have an idea of the outline of the ceremony? *

Yes, we've got it all covered.

We have ideas, but need help putting the pieces together.

We have no idea where to start! Help!

Will you write your own vows? *

Yes

No

What kind of music will there be? *

Live

Recorded

Mixture of both