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 EXCEPTTO SIGN YOUR NAME

Name__________________________________________

Nationality_____________________

Where Born_______________________________________  Age______

Residence_________________________________________________

Occupation_______________________________  Married?____________

Phone_________________________       ________________________________

                                                                                  Signature of bride

Registrado en________________           Fecha __________________

___________________ ReciboNo.___________ Folio No.____________