If you would like to get the proxy marriage process started, please fill out the information below, click submit, and we will contact you back.

Your Name

Your Email

Bride's Full Name (including middle name)

Bride's Phone Number

Bride's E-Mail

Bride's Address

Groom's Full Name (including middle name)

Groom's Phone Number

Groom's E-Mail

Groom's Address

Is the Bride a member of the U.S. Military?

Is the Groom a member of the U.S. Military?

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