Application for Wedding Service

Please fill out the form below and click submit. This is our preferred method forsubmitting a wedding servicerequest. However,if you prefer to download a printable version, click here.

1930 Adee Avenue
Bronx, NY 10469

Telephone: 718 547-4927
Fax: 718 547-3501

Your Name Your Name
Email Address
for bride and groom
Home Telephone Home Telephone
Other Phone Other Phone
Address Address
Age Age
Birthplace Birthplace
Date of Birth Date of Birth
Occupation Occupation
Church Affiliation Church Affiliation
Previous Marriages Previous Marriages

Wedding Date Wedding Time
Church Location
Rehearsal Date Rehearsal Time
Place of Reception
Residence Address After Marriage
Counseling Dates
Your Questions or Comments
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