• please fill in all information

  • FOR REQUESTING PARTY
    • Name of requesting party (you) REQUIRED Please fill out this field. Please enter valid data.
    • Email REQUIRED Please fill out this field. Please enter an email address.
    • Phone number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • WEDDING INFORMATION
    • Wedding date REQUIRED Please fill out this field. Please enter a date.
    • Bride first/last name (including maiden name) REQUIRED Please fill out this field. Please enter valid data.
    • Groom first/last name REQUIRED Please fill out this field. Please enter valid data.
  • If certificate is to be picked up at our office "Drop Box," please indicate YES below: REQUIRED Yes - I will pick up within 7 days No - please mail according to the information I will provide below Please fill out this field.
  • - If certificate is to be sent to a church, please indicate:

    - parish name

    - city / state where located
  • Parish name / city / state Please enter valid data.
  • If certificate is to be sent to your home, please indicate :

    - First/last name of recipient 
    - Street address 
    - City / state / zip
  • First Name Please enter valid data.

    Last Name Please enter valid data.
  • Street Address Please enter valid data.
  • City Please enter valid data.

    State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

    Zip Please enter a zip code.
  • Add any other relevant info here:

  Submit Request for Wedding Certificate