application

Our Wedding Date

Yes -- We Are Living Together

Our Street address

Our City

Our State

Our Zip Code

Groom's Email Address

Groom's Telephone Number

Groom's First Name

Groom's Middle Name

Groom's Last Name

Groom's Birthdate

Groom's Picture ID

Groom's Place of Birth - (City & State)

Previous Marriages or Domestic Partnerships

Date Ended

Groom's Father (Full Name)

Groom's Fathers Birthplace

Groom's Fathers Birthdate

Groom's Mother's Full Maiden Name

Groom's Mother's Birthplace

Groom's Mother's Birthdate

Bride's Telephone Number

Bride's Email Address

Bride's First Name

Bride's Middle Name

Bride's Last Name (Maiden)

Bride's Birthdate

Bride's Picture ID

Bride's Birthplace

Previous Marriages or Domestic Partnerships

Date Ended

Bride's Father (Full Name)

Bride's Father's Birthplace (City & State)

Bride's Father's Birthdate

Brides Mother's (Full Maiden Name)

Brides Mother's Birthplace

Bride's Mother's Birthdate

Yes I Wish To Change My Name !

Bride’s Name After Marriage

Bride's First Name

Bride's Middle Name

Bride's Last Name

Yes I Wish To Change My Name !

Groom's Name After Marriage

Groom's First Name

Groom's Middle Name

Groom's Last Name

Comments, Explanations or
Special Instructions

All Licenses Must Be Paid For In advance

YOU CAN HAVE THE BEACH WEDDING YOU HAVE ALWAYS DREAMED OF !!

CALIFORNIA DREAMING PACKAGE

Basic Ceremony With three styles to choose from -
Confidential Marriage License - Rehearsal-
Keepsake Photo Collage -Keepsake Wedding Certificate
$350

Your Confidential Wedding License Maybe Purchased Separately
for $125

Additional Packages are Available
Please Call for Pricing and Details
877-Rev-Lisa
877-738-5472