E-mail Address: * | |
Your Name: * | |
Your Fiance’s Name: | |
Date of Your Wedding * | |
Time of Your Wedding * | |
Is This time flexible? * | Yes No Possibly |
What city will your wedding be held? * | |
How many guests will be at your wedding? * | |
Home Phone: * | |
Work Phone: | |
Cell Number: * | |
When is the best time to contact you? |
Morning Afternoon Evening |
What is the best means to contact you? |
E-mail Home Phone Work Phone Cell Phone |
I am authorized to issue Marriage Licenses in LA County. Are you interested in this service? | Yes No |
How did you hear of us? * |
Personal Referral Search Engine Wedding Website General Website |
Please provide the specific name from above question: * | |
Further comments or questions: |
|
|
|
* Required | |