Engagement/Wedding Request Form

1
Event* This field is required.
Please Select
Please Select
Engagement
Wedding
2
Your name* This field is required.
First Name
Last Name
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Email Address* This field is required.
example@example.com
5
Fiance's Name* This field is required.
First Name
Last Name
6
Fiance's Email Address* This field is required.
example@example.com
7
Requested Date* This field is required.Please remember until this request is approved, the date and time are not finalized
Date
Month
Day
Year
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12
Hour
00
01
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59
Minutes
PM
AM
PM
8
Officiating Priest* This field is required.
Request will not be approved without consent of officiating priest
9
Do you plan on having a decorator decorate the church?* This field is required.
YESNO
10
Decorator's Phone Number* This field is required.Please note decorator must contact one of the priests at least one week before the event or they will not have permission to decorate
Please enter a valid phone number.
11
Optional Donation* This field is required.All Church services are offered for no charge, but if you would like to donate any amount to support the church maintenance and utilities, you may do so here.
I'd like to make a donationNo donation at this time
12
Donation Amount
prevnext( X )
100
USD
250
USD
500
USD
Description
USD
+ OR enter a custom value
13
Payment Methods
Fastlane Checkout
Choose from one of the PayPal options to make your payment.
Contact Info
Payment Info
Should be Empty: