Marriage Certificate Form Groom's Name * First Name Last Name Bride's Name * Please list Maiden Name First Name Last Name What year did you receive your Sacrament of Marriage? * Date of Birth * MM DD YYYY Email * Contact Phone Number * (if we need more information) (###) ### #### Are you a parishioner at St. Mary's? * Yes No If not, please indicate the parish where you are currently a member: When would you like the certificate delivered by? * MM DD YYYY Where would you like the certificate to be mailed? * Person requesting certificate * First Name Last Name Thank you! Your form has been submitted.
