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Marriage Certificate

Please enter the required information below.

Price$10.00

RECORD INFORMATION:Full Name of Groom or Bride*

sm_tbcfC105895Full Name of Groom or Bride is required.

Date of Marriage*

sm_tbcfC105896Date of Marriage is required.

Location of Marriage

Mother's Maiden Name

RETURN TO:Name*

sm_tbcfC105900Name is required.

Street Address*

sm_tbcfC105901Street Address is required.

Mailing Address

City/Town*

sm_tbcfC105903City/Town is required.

State*

sm_tbcfC105904State is required.

Zip Code*

sm_tbcfC105905Zip Code is required.

Daytime Phone Number*?

sm_tbcfC105906Daytime Phone Number is required.

Country*

sm_tbcfC105907Country is required.

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