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Wedding Minister & Ceremony Specialist

Rev. Kelly & Dianne Horncastle

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I, Rev. B.F. (Kelly) Horncastle, certify that I am an ordained minister

and authorized to officiate weddings in the state of New York. Rev. B.F. Horncastle

Please Complete the Terms of Agreement form below and submit to confirm your wedding date

Bride's Name:

Groom's Name:

Mailing Address:

City / State / Zip:

Phone #1:

Phone #2:

Email:

Wedding Date:

Wedding Time:

Ceremony Location:

Rehearsal Location if different from Ceremony Location:

Rehearsal Date:

Rehearsal Time:

Wedding Service - (ex: Wedding Minister, Intimate Ceremony, Wedding Chapel-Just Married):

Paid by Debit/ Credit Card

If mailing check, Please indicate date check mailed:

Total Payment:

The above named bride and groom have contracted with Rev. Kelly & Dianne Horncastle to officiate and coordinate their wedding ceremony scheduled for the above date. All Deposits are non-refundable. Please sign below :

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