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Traveling Minister Application

Please provide us with your details below to get the process started. We will contact you as soon as possible once your form is received to provide you with pricing information and finalize your application.

PREFERRED LANGUAGE

ENGLISH

SPANISH

WEDDING DATE

TIME :

1A. FIRST NAME

1B. MIDDLE

1C. CURRENT LAST

1C. LAST NAME AT BIRTH (IF DIFFERENT THAN 1C)

BRIDE GROOM

2. DATE OF BIRTH

3. STATE/ COUNTRY OF BIRTH

4. # PREV. MARRIAGES

5A. LAST MARRIAGE/ DRDP ENDED BY:

DEATH

DIVORCE

ANNULMENT

N/A

5B. DATE ENDED

6. HOME ADDRESS

7. CITY

8. STATE/COUNTRY

9. ZIP CODE

10A. FULL NAME OF FATHER

10B. STATE OF BIRTH (IF OUTSIDE THE US ENTER COUNTRY)

11A. FULL BIRTH NAME OF MOTHER

11B. STATE OF BIRTH (IF OUTSIDE THE US ENTER COUNTRY)

12A. FIRST NAME

12B. MIDDLE

12C. CURRENT LAST

12C. LAST NAME AT BIRTH (IF DIFFERENT THAN 1C)

13. DATE OF BIRTH

BRIDE GROOM

14. STATE/ COUNTRY OF BIRTH

15. # PREV. MARRIAGES

16A. LAST MARRIAGE/ DRDP ENDED BY:

DEATH

DIVORCE

ANNULMENT

N/A

16B. DATE ENDED

17. MAILING ADDRESS (IF DIFFERENT THAN ABOVE)

18. CITY

19. STATE/COUNTRY

20. ZIP CODE

21A. FULL NAME OF FATHER

21B. STATE OF BIRTH (IF OUTSIDE THE US ENTER COUNTRY)

22A. FULL BIRTH NAME OF MOTHER

22B. STATE OF BIRTH (IF OUTSIDE THE US ENTER COUNTRY)

Change of Last Name (If you choose not to change, Social Security Office will not change your name on SS card)

1A. FIRST NAME

1B. MIDDLE

1C. CHANGE OF LAST NAME

12. FIRST NAME

12B. MIDDLE

12C. CHANGE OF LAST NAME

BRIDE OR GROOM PHONE/ CELL #

Email

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