Wedding Information andApplication Form Wedding Date * MM DD YYYY Wedding Time * Hour Minute Second AM PM Reception at Church? Yes No If yes, between what times? (Has to be arranged with the Breckenridge Lutheran Church Women.) Rehearsal Date MM DD YYYY Rehearsal Time Hour Minute Second AM PM Bride's Name * First Name Last Name Bride's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Bride's Primary Phone # * (###) ### #### Bride's Alternative Phone # (###) ### #### Bride's Email * Groom's Name * First Name Last Name Groom's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Groom's Primary Phone # * (###) ### #### Groom's Alternative Phone# (###) ### #### Groom's Email * New Address of Bride & Groom (if known) Address 1 Address 2 City State/Province Zip/Postal Code Country Witnesses * Accompanist Additional Comments Sound/Video Service * Yes No Thank you!