Bride's Name *

First Name

Last Name

Bride's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Bride's Phone # *

(###)

###

####

Groom's Name *

First Name

Last Name

Groom's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Groom's Phone # *

(###)

###

####

If so, what time?

Hour

Minute

Second

AM PM

Do you attend New Life Church? *

Yes (2+ times a month)

Occasionally (1 or less times a month)

No (We do not attend New Life)