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Please fill in the form below to reserve a date for your wedding ceremony. I will confirm promptly. Items marked with an asterisk (*) are required. If you prefer, you may click the link below to get a printable page, which you can you can fill out and return to me via fax or the USPS.

Personal Contact Information
E-mail Address: *

Groom's Full Name: *

Bride's Full Name:*

Street Address*
City*
State* and Zip code*
Home Area Code* and Phone: *
Work Area Code and Phone:
Cell Area Code and Number:

Wedding Venue Information
Date of Your Wedding *
Time of Your Wedding *
Wedding Location:
Street Address*

City*

State* and zip code
Phone number (including area code) *

After Marriage Contact Information
Street Address*

City*
State* and Zip*
After Wedding Area Code* and Phone:*


Thank you for choosing Tie The Knot Ceremonies to officiate your wedding.


A $100.00 non-refundable deposit is required to reserve a date.  Upon receipt of your reservation and deposit, I will contact you and make arrangements to meet and review the details of your ceremony, including any customizations and/or personalizations you desire.  The agreement will also be completed and signed at that time.  We accept Credit Card and PayPal payments. Final payment is due one week prior to the ceremony.  Personal checks will not be accepted for final payment. For more information, go to the “Payments” link on the website.
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