Bride’s Information Sheet

                                                                                                            IMPORTE TOTAL  $____

                                                                                                            ANTICIPO                 $____

                                                                                                            BALANCE                $____

   Name:  ______________________________________________________________________

  Nationality: _______________________________________________   Age: _____________

  Where Born (City, Country and State): ____________________________________________

  Occupation:  ______________________________   Religion: __________________________

  Marital Status (single, divorced, widowed): _________________________________________

  Residence (City, State, Country): _________________________________________________

  Mailing Address: ______________________________________________________________

  Phone: ________________________________

  Father's Name: ________________________________________________________________

  Where Born: _________________________________________   Age: ___________________

  Occupation: ________________________________________   Living?: __________________

  Residence: ____________________________________________________________________

  Mother's Full Name: ____________________________________________________________

  Where Born:  __________________________________________  Age: ___________________

  Occupation:  _________________________________________  Living?: __________________

  Residence: _____________________________________________________________________

                                                                                    ____________________________

                                                                                    WITNESS

DO NOT WRITE BELOW THIS LINE EXCEPT TO SIGN YOUR NAME

Name__________________________________________

Nationality_____________________

Where Born _______________________________________  Age______

Residence_________________________________________________

Occupation _______________________________  Married?____________

Phone_________________________        ________________________________

                                                                                     Signature of bride

Registrado en________________            Fecha __________________

___________________ Recibo No.___________ Folio No.____________

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