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Course Info

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Selected Course

Date of First Class

Date of Second Class

Groom's Info

Groom's Name(Required)

First Last

Groom's Email(Required)

Groom's Phone

Groom's Address(Required)

Street City State ZIP Country

Groom's Religion(Required)

Please enter the groom's religion(Required)

Has the groom been married before?(Required)

Yes

No

Has the groom's previous marriage been annulled?(Required)

Yes

No

Does the groom have any dietary restrictions?

Yes

No

Groom's Dietary Restrictions

Bride's Info

Bride's Name(Required)

First Last

Bride's Email(Required)

Bride's Phone

Bride's Address(Required)

Street City State ZIP Country

Bride's Religion(Required)

Please enter the bride's religion(Required)

Has the bride been married before?(Required)

Yes

No

Has the bride's previous marriage been annulled?(Required)

Yes

No

Does the bride have any dietary restrictions?

Yes

No

Bride's Dietary Restrictions

Wedding Info

Wedding Date

Wedding Location

Please enter the location of your wedding

Name of presiding Priest or Deacon

Priest/Deacon's Parish

Priest/Deacon's Parish (Other)

Parish Info

At which parish do you plan to attend Mass on a regular basis?(Required)

Please type the name of the parish you plan to attend for Mass(Required)

Payment Info

Payment Status

Payment at the time of registration is appreciated

Marriage Preparation Class

Price:

Marriage Preparation Class - Partial Payment(Required)

Make A Donation?

I would like to make an additional donation today.

Donation Amount

Credit Card Billing Address(Required)

Use groom's address

Use bride's address

Enter another address

Credit Card(Required)

Card Details - please include expiration date and CVC code

Cardholder Name

Billing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Need Financial Assistance?

The cost for Marriage Preparation is $225. Although we prefer payment up front, we understand that this can create a financial burden for some couples. If you need assistance, please contact Paul Duker to discuss your options.

If you would like to proceed with this payment option, you are permitted to submit this form without payment today.

Summary

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