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  • Bride Information

  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED 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 Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Phone Number (Cell) REQUIRED Please fill out this field. Please enter a phone number.
  • Phone Number (Home) Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Which church do you attend? REQUIRED Please fill out this field. Please enter valid data.
  • Were you baptized Catholic? REQUIRED Yes No Please fill out this field.
  • Have you ever been married before? REQUIRED Yes No Please fill out this field.
  • If yes, when where, and to whom? Please enter valid data.

  • Groom Information

  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED 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 Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Phone Number (Cell) REQUIRED Please fill out this field. Please enter a phone number.
  • Phone Number (Home) Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Which church do you attend? REQUIRED Please fill out this field. Please enter valid data.
  • Were you baptized Catholic? REQUIRED Yes No Please fill out this field.
  • Have you ever been married before? REQUIRED Yes No Please fill out this field.
  • If yes, when where, and to whom? Please enter valid data.
  • In the space provided below, together, please share: Why at this time in your life do you want to be married in the Catholic Church? REQUIRED Please fill out this field.
  • For a wedding/convalidation taking place at St. Martha:
  • Date requested: REQUIRED Please fill out this field. Please enter a date.

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