Wedding Request Form

BRIDE INFORMATION

Full Name

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GMBC Member

yes no

Full Address

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City

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State

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Zip

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Home Phone

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Work Phone

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Email

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GROOM INFORMATION

Full Name

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GMBC Member

yes no

Full Address

____________________________________________________

City

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State

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Zip

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Home Phone

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Work Phone

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Email

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Comments:



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Bring in or Mail to:
THE GALILEAN HOUSE OF WORSHIP
5078 A.L. Philpott Hwy.
Martinsville, Virginia 24112
276-638-2066
Dr. Michael Penn, Pastor
Gail N. Hagwood, Administrative Assistant