Name *

First Name

Last Name

Phone *

(###)

###

####

Are you a Member *

Yes

No

Date of Ceremony *

MM

DD

YYYY

Time of Ceremony *

Hour

Minute

Second

AM PM

Requesting the Following (Click all that apply) *

Sanctuary (Ceremony)

Fellowship Hall (Ceremony)

Reception in Fellowship Hall

Requesting the Following (Click all that apply)

Audio

Video

Photography

Performing the Ceremony *

Bishop Arnold

Another Pastor