companyname.jpg (11073 bytes)

 

 sidename.jpg (12375 bytes)


 

PHASE I

NEWLYWEDS/NEWLYWEDS TO BE
*Signifies Required Information

Where Did You Hear About Us?:
* If Other
Grooms Name:
*(first and last)
Brides Maiden Name:
*(first and last)
Address:
*
City:
*
State / Zip:
*  *
Date of Marriage
* (To qualify, only if you were married within the last 12 months.)
Name of Church
*
Denomination
*

Name(s) to be Embossed in gold on the Cover of the Bible

*
(example - The Smith Family)

Parents of the Bride
Brides Father:
*(first and last) Deceased
Brides Mother:
*(first and last) Deceased
Address:
City:
State / Zip:
 
Parents of the Groom
Grooms Father:
*(first and last) Deceased
Grooms Mother:
*(first and last) Deceased
Address:
City:
State / Zip:
 

All of the Above Information is Confidential !!
It is Used Strictly for Mailing Gifts.



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All Rights Reserved.