Registry Form

_____________________________________
Wedding Name (Bride/Groom last names)

______/_______/_______
Wedding Date

Registrant (Bride)

_________________________________
Name

_________________________________
Address

_________________________________
City State Zip

_________________________________
Day Phone                 Evening Phone

_________________________________
Email Address


Co-Registrant (Groom)

_________________________________
Name

_________________________________
Address

_________________________________
City State Zip

_________________________________
Day Phone                        Evening Phone

_________________________________
Email Address

Ship To
(Optional - if you want your registry items all shipped directly to one person - please note: if this section is not filled out, the items will be shipped to the gift givers instead)

_________________________________
Name

_________________________________
Address

_________________________________
City State Zip

_________________________________
Day Phone                Evening Phone

_________________________________
Email Address