Wedding Date

YYYY

Wedding Time

Hour

Minute

Second

Choose One

Bride

Groom

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Please Choose One

Bride

Groom

Name

First Name

Last Name

Phone

(###)

###

####

Address After the Wedding

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Package Selected

Final Guest Count

Please provide the total number of guests attending. This includes the wedding party and any children 5 and over. Number should NOT exceed the maximum guest count allowed by the package chosen. Thank you.

Which Ceremonial Activity will be included, if any? (Couple must bring their own props)

Are you bringing your own officiant?

Yes

Are you writing your own vows?

Yes

Do you have wedding favors?

Yes

Do you have a wedding party? (No more than 4 on each side)

Yes

Entry and Exit Song Choices (Please DO NOT request specific start and stop times for songs. That will not be accommodated. Include title and artist - NO YOUTUBE LINKS)

Are you having LIVE music?

Yes

Please provide details.

Your love story...

(Optional) Please share an interesting fact or tidbit about your relationship that we can share via our blog or social media. Our followers LOVE to hear stories about our couples. If you prefer to keep your story private that is fine also.

Do you grant us permission to post an image on one or more of our social media platforms simply to congratulate you and show everyone how amazing our couples are? :-)

Yes

I have read and agree to the Terms and Conditions and the Waiver and Release of The Philadelphia Wedding Chapel

Yes

Please read and type your name in the box below. Click Submit to accept your esignature.

By clicking submit, the Couple acknowledges and understands that The Philadelphia Wedding Chapel ("PWC") is not and will not be held responsible for any legal issue(s) that may arise out of the marriage services performed by any of our officiants or affiliates. The couple further understands that our representatives are independent licensed officiants that may not be affiliated with an established church or congregation. We rely on the information provided by the individuals and take necessary precautions to verify such information. PWC assumes that the marriage license presented at the time of the ceremony is valid and the information contained therein is true and correct. Couples also hereby gives consent to the use of their images and or photographs for promotional purposes via web, print or social media.

Additional Comments

Thank you!

Client Information

Client Information

Please DO NOT complete this form unless you already have a scheduled reservation.

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