*Bride's Name:

*Groom's Name:

*Wedding Date:

*Mailing Address:



*Zip Code:

*Email Address:

*Re-Enter Email:

*Credit Card type:

*Card Number:


*Security Code:

*Total Tickets needed:

Do you already have your venue booked?:

If so, name of venue:

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Prices are $10 in advance or $15 at the door.  Admission includes all food, beverages, cocktails, entertainment, prize drawings and a goody bag!
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