Today's Date *
Today's Date
Bride's Name *
Bride's Name
Bride's Phone
Bride's Phone
Groom's Name *
Groom's Name
Groom's Phone
Groom's Phone
Date of Wedding *
Date of Wedding
Date of Rehearsal *
Date of Rehearsal
Wedding Package *
Marriage Coaching Package

This form will serve as initial stage of the Wedding Contract process.  This contract serves as a contract between you and Dr. Dorrien Hinsey and will reserve your wedding date and time. 

**A deposit of $100.00 will secure your date and time of your wedding. Deposit is Non Refundable

**Payments can be made through Paypal (You don't have to join Paypal to use Paypal.)

Payer’s Deposit reserves the date and time and is nonrefundable. The Deposit will be applied in full toward the total fee as stated above. Payer must pay the balance of the contract on or before 30 days before the event. All payments received are nonrefundable. We are not responsible for accident or theft. 

Please note:  This information will serve as the beginning of our contract process.  After submitting this form, someone will follow up with you to confirm this information and to agree to the contract.  Please verify that your contact information is correct prior to submitting.  Thank you