Wedding Request: Holiday
Thursday, February 14, 2019
Grooms Name
First Name
Middle Name
Last Name
Suffix
Cell Phone Number
-
Area Code
Phone Number
Grooms Email
example@example.com
Brides Name
First Name
Middle Name
Last Name
Suffix
Cell Phone Number
-
Area Code
Phone Number
Brides Email
example@example.com
Type of Marriage License
Public License - Must have a witness present
Confidential License - Does not need a witness
Marriage License Witness Services: I Can Provide A Witness For You To Sign Your Marriage License For Additional Fee $25.00
Please provide me a Witness
I have my own witness
I do not need a witness (Confidential License)
Your Wedding Is Being Held At The Following:
House
Park
Venue
Mass Wedding at Mill Creek Park at 12:00pm
Other
Address where you want to get married at...
Street Address
Street Address Line 2
City
State
Zip Code
Prefer Method(s) of Contact:
Groom Cell
Bride cell
Submit
Print Form
Zekes Mobile Multi-Services
zekesmobilemultiservices@yahoo.com
(833) 683-4637
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