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Justice of the Peace Questionnaire
  In order to create the best ceremony for you, please fill out the questionnaire below. Please advise me if anything changes. I would appreciate your sending me a copy of your photo IDs (scan/e-mail, fax, or regular mail).
Mary Pugh
Norwalk, CT 06850
203 838 1038
cell 203 434 5038
fax 206 984 4343
mary@ctjusticeofpeace.com
 
Contact Information
First Name:
Last Name:
Address:
 
City:
State:
Zip-Code:
Phone:
Alternate Phone:
E-Mail:
I am the:
Couple Information
Bride/Partner 1 First Name:
Bride/Partner 1 Middle Name:
Bride/Partner 1 Last Name:
Bride/Partner 1 Preferred Name:
Groom/Partner 2 First Name:
Groom/Partner 2 Middle Name:
Groom/Partner 2 Last Name:
Groom/Partner 2 Preferred Name:
Ceremony Information
Type of Ceremony:
Ceremony Date:
Open the calendar popup.
Start Time:
End Time (Approx):
Ceremony Location:
Address:
City:
State:
Zip-Code:
Phone # at Location:
Ceremony Specifics
Ceremony Size:
Formality of Ceremony:
 
Religious Preferences For Ceremony:



Other (From Above):
 
Ceremony Attendants (Check all that apply):
Other Attendants:
by
 
Number of Guests:
 
Rings:
 
Ceremony Options (Check all that apply):








Other Option (Please Specify):
Vows
Sample vows are on the CD I send to my couples. You are not limited to selecting from these sample vows; you can have totally customized vows if you prefer. If you write "private personal vows" I ask that you e-mail them to me separately.
Selected Vow (From the CD/Site):












 
Readings Planned by Family/Friends:
Other Details
See my website for details on obtaining your license. You will need my contact info above for the town hall application. Also, I would appreciate your mailing a copy of your photo id (DR License, passport first page, etc) to my address above. As of Oct 1st, 2009 licesnes must be from town of wedding location
Do you have your license?
 
What would you like your JP to wear (Check all that apply):



Other (From Above):
Stole Color:
Comments/Special Requests:
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