BRIDES NAME AS ON PASSPORT *

First Name

Last Name

BRIDE'S BIRTHDATE *

MM

DD

YYYY

GROOM'S NAME AS ON PASSPORT *

First Name

Last Name

GROOM'S BIRTHDATE *

MM

DD

YYYY

Name ON CARD #1

First Name

Last Name

BILLING ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

WE, THE BRIDE AND GROOM AGREE TO ALL THE TERMS SET FOURTH IN THE ATTACHED CONTRACT IN RELATION TO BEACH BOUQUET DESTINATION WEDDINGS INC., SWAN VALLEY TRAVEL, AND THE RESPECTIVE SUPPLIER NAMED *

BY SIGNING WE ARE RESPONSIBLE FOR THE ENTIRE WEDDING GROUP ABIDING BY THE RULES OF THIS AGREEMENT.

WE, THE BRIDE & GROOM ACCEPT THE TERMS SET FOURTH IN THE ATTACHED AGREEMENT