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UHBC Wedding Information Request
 
1. Bride's Name *
 
2. Groom's Name *
 
3. Mailing Address (Street, City, State, Zip Code) *
 
4. Daytime Phone Number *
 
5. Evening Phone Number *
 
6. Email Address *
 
7. First Choice Wedding Date (mm/dd/yyyy) *
 
8. Second Choice Wedding Date (mm/dd/yyyy) *
 
9. Additional Information (optional)
 

This form will be submitted to our wedding coordinator, Teena Whaley. Thank you for your interest.



 
 

1010 S  National Ave. | Springfield, MO 65804 | Phone: (417) 862-0789 | Fax: (417) 862-0795


 
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