Groom’sInformation Sheet

                                                                                                        IMPORTE TOTAL            $____

                                                                                                        ANTICIPO                     $____

                                                                                                        BALANCE               $____

  Name: __________________________________________________________________________

 Nationality: _____________________________________________  Age: __________________

 WhereBorn:( City, Country and State) ________________________________________________

 Occupation: _________________________________ Religion:_____________________________

 MaritalStatus (single, divorced, widowed): _____________________________________________

 Residence(City, State, Country): _____________________________________________________

 MailingAddress  : _________________________________________________________________

 Phone: _______________________________

 Father'sName: ____________________________________________________________________

 WhereBorn:  ________________________________________________ Age: ________________

 Mother'sFull Name: ________________________________________________________________

 WhereBorn: ________________________________________________  Age: _________________

DONOT WRITE BELOW THIS LINE EXCEPT TO SIGN YOUR NAME

Name__________________________________________

Nationality______________________________________

WhereBorn _______________________________________ Age______

Residence_________________________________________________

Occupation_______________________________ Married?____________

Phone_______________________

                                                                      __________________________________

                                                                                       Signature of groom

Registradoen________________            Fecha__________________

___________________Recibo No.___________ Folio No.____________

 
Telephone 1-414-241-6629