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Wedding Registry Form
To make a contribution to one of our customers in the the Wedding Registry simply select their name from the drop-down list below and complete the rest of the information about yourself. We will contact you by phone to get your payment. Please do not email your credit card information to any agent as this is not secure. ALL FIELDS EXCEPT ALTERNATE NUMBER ARE REQUIRED.
Couple's Name
Select a Couple
Rachel McCurdy and Adam Wilczek - (Agent: Kim)
Annette Shea and Paul Shea - (Agent: George)
Denise Shea and David Raynor - (Agent: George)
Lindsay Kassanavoid and Bryan Jester - (Agent: Heidi)
Krista Dismukes and Eric Vitense - (Agent: Heidi)
Jordan Bitsche and Brandon Richard - (Agent: Heidi)
Stacey Campbell and Dale Oliver - (Agent: George)
Jennifer Seitz and Joshua Welch - (Agent: Heidi)
Email
*
Phone
*
Amount of Contribution
*
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