Brick Church -> Wedding Interest Form

Wedding Interest Form

Please complete the information below. Please note that submission of this form does NOT guarantee your wedding on the date requested. If you have any questions, please call Lena Tharp at (212) 289-4400 x246 or e-mail her at ltharp@brickchurch.org.

Name of person to contact about this wedding

Contact's First Name*

Contact's Last Name*

Contact Email Address

Email*

Contact Phone Number

Phone*

Bride

Bride's Full Name as Used for Marriage License*

Address

Street*

City*

State*

Zip*

Home Phone*

Mobile Phone*

Email Address*

Member of The Brick Church

Is the bride a member?*

Yes No

If no, please state the church of which the bride is a member and its denomination.

Previous Marriages

Has the bride been married before?*

	Yes
	No

If yes, how terminated?

Method:

If terminated, when?

Date:

Groom

Groom's Full Name as Used for Marriage License*

Address

Street*

City*

State*

Zip*

Home Phone*

Mobile Phone*

Email Address*

Member of The Brick Church

Is the groom a member?*

Yes No

If no, please state the church of which the groom is a member and its denomination.

Previous Marriages

Has the groom been married before?*

	Yes
	No

If yes, how terminated?

Method:

If terminated, when?

Date:

Address after marriage

Street address after marriage*

City*

State*

Zip*

Requested Wedding Date*

Requested Wedding Time*

Requested Rehearsal Date*

Requested Rehearsal Time*

Desired place of wedding*

Requested Minister (if any)

Name

Florist

Name

Notes:

THERE ARE CERTAIN CONDITIONS FOR VIDEOTAPING AND PHOTOGRAPHING THE WEDDING SERVICE. PLEASE INQUIRE WITH MRS. THARP OR THE OFFICIATING MINISTER.