Full Name:
*
First Name
Last Name
Fiancé/ Fiancée:
*
First Name
Last Name
E-mail:
*
Please provide the nominee email.
Phone Number:
*
-
Area Code
Phone Number
City:
*
CSRA Only
Place of Employment:
*
Occupation:
*
Years Together:
*
How did you meet?
*
How has COVID affected your relationship or wedding plans?
*
What would winning this contest mean to you?
*
Do you agree to sign a media release?
*
Yes
No
Do you agree to be interviewed?
*
Yes
No
Please provide photo.
*
Browse Files
Couples photo's only
Cancel
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Notes:
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