Please fill out this form completely all fields are required to process your application

Husband's Personal Data

First Name of Husband:

Middle Name of Husband:

Last Name of Husband:

Date of Birth:

Place of Birth:

Number of Previous Marriages:

Last Marriage Ended by death, dissolution or annulment:

Date (mo/da/yr):

Usual Occupation:

Usual Kind of Business or Industry:

Education ~ Years Completed:

Full Name of Father:

Father's Place of Birth:

Full Maiden Name of Mother:

Mother's Place of Birth:

Wife's Personal Data

First Name of Wife:

Middle Name of Wife:

Current Last Name of Wife:

Maiden Last Name of Wife:

Date of Birth:

Place of Birth:

Number of Previous Marriages:

Last Marriage Ended by death, dissolution or annulment:

Date (mo/da/yr):

Usual Occupation:

Usual Kind of Business or Industry:

Education ~ # of Years Completed:

Name of Father:

Father's Place of Birth:

Full Maiden Name of Mother:

Mother's Place of Birth:

Residence of Husband and Wife

Email Address:

Residence: (Street and Number)

City/State/Zipcode/County:

Mailing Address (if different)

City/State/Zipcode/County:

Wedding Date

Wedding Location

Tell us how to get in touch with you:

Please send $180.00 Check or Cashiers Check/Money Order to:
Elegant Weddings -- Kimber Lee Wilkes
6165 Elba Place
Woodland Hills Ca, 91367

Further Comments: