Name of Bride:

Address:

Phone Numbers: Home Work

Religion:

(Name of Church you attend, and indicate if you go to church weekly, monthly, semi-annually, etc.)

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Name of Groom:

Address:

Phone Numbers: Home Work

Religion:

(Name of Church you attend, and indicate if you go to church weekly, monthly, semi-annually, etc.)

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Name & Phone Number of Priest/Deacon/Minister preparing couple:

Other Information (4 lines max):

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Office Use Only:   (circle)     St. Joseph                           St. Teresa
Date and Time of Marriage: ______________________________________________________
Deposit received, and information packet given: _____________________________________________________