EmailMe Form - December "Day of Wedding" Contest

December "Day of Wedding" Contest
Complete the form in full to officially be entered in the
Free Day of Wedding Planner Contest for the month of December.

All applicants must have a confirmed wedding date in December 2010
set within 25 mile radius of 91711. Additional fees may apply.

Bride's Name *

Prefix

First *

Last *

Suffix

Groom's Name *

Prefix

First *

Last *

Suffix

Confirmed Wedding Date *

YYYY

Email *

Phone Number *

###

####

We will not share this number with third parties.

Location of Ceremony *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Location of Reception (if different)

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

YOUR STORY

This section will be posted on my blog for viewers to vote.
Keep it short, you are limited in space.

BTW, "because I want a free wedding planner" is not a sufficient answer :)

Tell us why you think you should win? *

Please upload a picture of the two of you. *

Image size not to exceed 5MB.

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