Last Name:____________________________
Husband:______________________________
Wife:_________________________________
Address:______________________________
City:__________________________________
State:_____________ Zip:________________
Phone:________________________________
Wedding Date:_________________________
Religious Affiliation/Church:
Husband_____________ / _______________
Wife_________________ / _______________
Weekend Date (Please Check):
September 25-27, 2009 _______
November 13-15, 2009
_______