Marriage Application

Proposed Date of Wedding *

We will contact you to confirm whether your preferred date is available.

MM

DD

YYYY

Date of Birth *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Have you been married before? *

Yes

No

Have you ever been in a civil partnership? *

Yes

No

Are you a foreign national? *

Yes

No

Partner's Date of Birth *

MM

DD

YYYY

Partner's Address

If different from your address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration *

I certify that, to the best of my knowledge and belief, the answers to the above questions are true and complete, and that I have the permission of my partner to provide their personal information.