Marriage Application

Please fill this form out as much as you are able. If you do not have all of the information, go to the bottom of the form and select "save and continue". This will email a link to you of your partially filled out form so that you can continue to fill it out. Please note that all fields are required as are the copies of photo IDs of all parties uploaded before the form will allow you to submit.

1 Groom

2 Bride

3 Groom & Bride address

4 Maher information

5 Wali Data

6 Witness 1 Data

7 Witness 2 Data

8 Special Request, file uploads, and payment

Groom's Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Groom's Date of Birth*
Enter as MM/DD/YYYY
Groom's Place of Birth*
Groom's Identification Type:*
Driver's license, passport, or any photo ID issued by local municipal, state or federal authorities
Groom's ID Number:*
Groom's ID - Issuing Authorities:*
Groom's ID - Expiration Date:*

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Bride's Name*
First Last
Bride's Date of Birth*
Enter as MM/DD/YYYY
Bride's Place of Birth*
Bride's Identification Type*
Driver's license, passport, or any photo ID issued by local municipal, state or federal authorities
Bride's ID number*
Bride's ID - Issuing Authorities*
Bride's ID - Expiration Date*

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Groom & Bride's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Maher (gift to wife) amount:*
Advance
*
Delayed

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Wali (Guardian)*
First Last
Wali's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Wali's Identification Type*
Driver's license, passport, or any photo ID issued by local municipal, state or federal authorities
Wali's ID number*
Wali's ID - Issuing Authorities*
Wali's ID - Expiration Date*

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Witness # 1 Name*
First Last
Witness # 1 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Witness # 1 Identification Type*
Driver's license, passport, or any photo ID issued by local municipal, state or federal authorities
Witness # 1 ID number*
Witness # 1 ID - Issuing Authorities*
Witness # 1 ID - Expiration Date*

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Witness # 2 Name*
First Last
Witness # 2 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Witness # 2 Identification Type*
Driver's license, passport, or any photo ID issued by local municipal, state or federal authorities
Witness # 2 ID number*
Witness # 2 ID - Issuing Authorities*
Witness # 2 ID - Expiration Date*

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Special Requests
Please let us know of any special requests:
Address
Marriage certificate should be mailed to the following address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
1. Copy of civil/court marriage certificate 2. Copy of divorce certificate from previous marriages for both groom and bride, if applicable 3. Copy of groom and bride's drivers licenses 4. Copy of Wali's (guardian) drivers licenses 5. Copies of 2 witnesses drivers licenses
Files
Please upload copies of all items required for marriage application before submitting.
Drop files here or
Product Name
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

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