50th Anniversary Celebration Honorees

50th Anniversary Celebration Registration

Couple Information

Husband/Spouse/Partner
Husband/Spouse/Partner
First
Last
I prefer a…
Wife/Spouse/Partner
Wife/Spouse/Partner
First
Last
I prefer a…

Parish Information

Clergy/Warden Name
Clergy/Warden Name
First
Last
Information regarding the service will be sent to this email address.

Main Contact Information

Name of Person Completing Form
Name of Person Completing Form
First
Last
Information regarding the service will be sent to this email address.
Address
Address
City
State/Province
Zip/Postal