FULL NAME OF BRIDE:

ADDRESS 

CITY/PROVINCE 

PHONE HomeWorkCell (555-5555)

EMAIL ADDRESS 

FULL NAME OF GROOM: 

ADDRESS 

CITY/PROVINCE

PHONE HomeWorkCell (555-5555)

EMAIL ADDRESS 

MEMBERSHIP AT EPUBC: Are you a member of this Church? BRIDE   GROOM

IF NOT, MEMBER OF WHAT CHURCH:   Bride:

AGE: Bride   Groom                 Groom:

DATE OF WEDDING REQUESTED: 

TIME OF WEDDING REQUESTED:   (Example 2:00pm)

DATE and TIME of WEDDING REHERSAL: TIME:

COST: THERE IS A COST FOR THE USE OF THE CHURCH AND FOR THOSE FROM THE CHURCH WHO PARTICIPATE IN THE WEDDING. A FULL LIST OF COSTS WILL BE PROVIDED TO YOU. THESE COSTS COULD INCLUDE THE COST OF USING THE CHURCH, UTILITIES USED, PASTOR OFFICIATING THE WEDDING, MUSICIAN AND/OR CHOIR, OTHER COSTS, ETC. *COSTS MUST BE PAID IN FULL BEFORE WEDDING.*

OTHER SERVICE REQUEST /DETAILS:

  (Click the letters in the box to refresh)