Civil Wedding Ceremony

PAYMENT FORM CELEBRANT FOUNDATION & INSTITUTE

Please complete this online payment form and hit "submit payment" at the bottom when finished. NOTE: All fields are required.

After hitting submit you will have the option of paying by your paypal account or paying by your credit card. If you do not have a paypal account you will see the option "Don't have a PayPal account", use this option for all credit card payments. PLEASE NOTE THAT ALL PAYMENTS ARE PAID IN USA DOLLARS.

If you wish to fax your application our fax number is: 973.746.1775

If you have questions please contact Charlotte Eulette, at Charlotteeulette@Celebrantinstitute.org or call (973)746-1792.

Thank you

First Name:

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Last Name:

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E-mail:

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Phone:

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Amount:

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Celebrant Foundation & Institute
Phone: 973.746.1792
Fax: 973.746.1775
www.celebrantinstitute.org