| Street Address | |
| City, State, Zip | |
| Cell Number | |
| Fiance's First Name | |
| Fiance's Last Name | |
| Fiance's Email Address | |
| Fiance's Phone Number | |
| Fiance's Street Address | |
| Fiance's City, State, Zip | |
| Fiance's Cell Number | |
| Is the a Bride of Member of Northeast? |
|
| If no, please list church Bride attends, if any | |
| Is the Groom a Member of Northeast? |
|
| If no, please list church Groom attends, if any | |
| Date of Wedding | |
| Time of Wedding | |
| Date of Rehearsal | |
| Time of Rehearsal | |
| Number of anticipated guests | |
| I would like to use a minister from Northeast |
|
| If yes, please list first three preferences. First: | |
| Second preference: | |
| Third preference: | |
| If no, who will be performing the ceremony? | |
| Buildling Needs |
|
A
$25.00
fee is required (online payments only please)