Online Marriage Form
First Party's Personal Information
Name:
First
Middle
Last
Suffix
Gender:
-
MALE
FEMALE
Party Type:
-
BRIDE
GROOM
SPOUSE
Street Address:
City:
State, Zip:
-
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
DOMINICAN REPUBLIC
EL SALVADOR
Fed St of Micronesia
Florida
Georgia
Guam
GUATEMALA
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
MEXICO
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
NICARAGUA
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
PHILIPPINES
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
SENEGAL
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
VIETNAM
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
ZIMBABWE
,
Date of Birth:
-
January
February
March
April
May
June
July
August
September
October
November
December
-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Age:
Birthplace City/State:
County/City
-
Or
State
-
N/A
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
DOMINICAN REPUBLIC
EL SALVADOR
Fed St of Micronesia
Florida
Georgia
Guam
GUATEMALA
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
MEXICO
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
NICARAGUA
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
PHILIPPINES
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
SENEGAL
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
VIETNAM
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
ZIMBABWE
Race:
-
Caucasian
African American
American Indian
Asian Indian
Black
Chamorro
Chicano
Chinese
Cuban
Filipino
Guamarian
Hispanic
Japanese
Korean
Mexican
Mexican American
Native Hawaiian
Puerto Rican
Samoan
Vietnamese
White
Other
Occupation:
Relationship to Other Party:
First Party's Marital Information
Number of Previous Marriages:
-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Last Marriage Ended Reason:
-
Widowed
Divorce
Annulment
First Party's Parental Information
Father's Full Name:
Mother's Full
MAIDEN
Name:
Second Party's Personal Information
Name:
First
Middle
Last
Gender:
-
MALE
FEMALE
Party Type:
-
BRIDE
GROOM
SPOUSE
Street Address:
Address same as first party's
City:
State, Zip:
-
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
DOMINICAN REPUBLIC
EL SALVADOR
Fed St of Micronesia
Florida
Georgia
Guam
GUATEMALA
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
MEXICO
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
NICARAGUA
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
PHILIPPINES
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
SENEGAL
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
VIETNAM
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
ZIMBABWE
,
Date of Birth:
-
January
February
March
April
May
June
July
August
September
October
November
December
-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Age:
Birthplace City/State:
County/City
-
Or
State
-
N/A
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
DOMINICAN REPUBLIC
EL SALVADOR
Fed St of Micronesia
Florida
Georgia
Guam
GUATEMALA
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
MEXICO
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
NICARAGUA
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
PHILIPPINES
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
SENEGAL
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
VIETNAM
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
ZIMBABWE
Race:
-
Caucasian
African American
American Indian
Asian Indian
Black
Chamorro
Chicano
Chinese
Cuban
Filipino
Guamarian
Hispanic
Japanese
Korean
Mexican
Mexican American
Native Hawaiian
Puerto Rican
Samoan
Vietnamese
White
Other
Occupation:
Relationship to Other Party:
Second Party's Marital Information
Number of Previous Marriages:
-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Last Marriage Ended Reason:
-
Widowed
Divorce
Annulment
Second Party's Parental Information
Father's Full Name:
Mother's Full
MAIDEN
Name: