We invite you to participate in the Loving Commitment Ceremony and Reception! If you wish to participate, please fill out the form below. $50 for each Couple Couple Names: Contact Phone Number: Contact Email: Please charge my credit card as designated below: Please choose your credit card type: VisaMasterCardAmexDiscover Name on Credit Card: Credit Card Number: Expiration Date: CCV Code: Billing Zipcode: Billing Address:
