Request for a Wedding Certificate

Request for a Wedding Certificate

Please use this form to request a copy of a Wedding Certificate. Provide any information you have to assist us in finding the requested record. (An individual must have been married at Our Lady of Lourdes Church for a certificate to be prepared)
Approximate date of Wedding

MonthDayYear
Date
Name of Groom Married at Our Lady of Lourdes Church

First NameLast Name
MAIDEN name of Bride who was married at Our Lady of Lourdes Church

First NameLast Name
Name of Person Requesting Certificate

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Person Requesting the certificate is
How would you wish to receive the certificate?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your voluntary $10 donation to Our Lady of Lourdes will help defray costs of processing and sending your certificate. We thank you for your kindness in supporting the work and ministry of Our Lady of Lourdes.

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