Name of Bride: _____________________________________________

Name of Groom: ____________________________________________

Address: __________________________________________________

Address: __________________________________________________

Address: __________________________________________________

Phone: (Home) _____________________ (Mobile) ______________________ 

Date of Wedding: ___________________________________________

Time of Wedding: ___________________________________________

(NB: We allow for 3 hour time slots at the church. As an example: 1 hour prior to wedding / 1 hour wedding ceremony / 1 hour after wedding for mingling and photos, etc)

Name of Celebrant: (if known) _____________________________________

Reception Venue: (if known) _______________________________________

Please print this page off
sign and return this form with your $100 deposit to:

Wallaceville Church
c/- 53 Martin Street, Upper Hutt
(Please make cheques payable to `Wallaceville Church')

Signature(s): ____________________________________________________

Date:___________________________________________________________