HEMPSTEAD AG - PRE-MARITAL REQUEST FORM
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Congratulations on your decision to have your wedding ceremony performed by the ministry of Hempstead Assembly of God. Please supply us with the following information.
Date of Request
*
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Contact Numbers
*
Fiancé/Fiancées Full Name
*
Fiancé/Fiancée Contact Numbers
*
Fiancé/Fiancée Email
*
How did you hear about Hempstead Assembly of God pre-Marital Sessions?
*
Do you attend church? Y/N if yes, where?
*
Date of Wedding
*
Time of Ceremony
*
Location of Ceremony
*
Submit
Description
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