BA

Linda Dale Brown

Jusice of the Peace

10 First Street

Rings Island

Salisbury, Ma. 01952

E-mail  Chapellbjp@ aol.com

www.JusticeSayIDo.com

978-462-3531

Name of First Applicant:  _____________________________________________

Address:  __________________________________________________________

Phone:  Home: _________________  Work: _______________  Cell: ___________

E-Mail: _______________________________________

 

Name of Second Applicant:  _____________________________________________

Address:  __________________________________________________________

Phone:  Home: _________________  Work: _______________  Cell: ___________

E-Mail: _______________________________________

 

Ceremony Location:  _______________________________________________

                                   _______________________________________________

Date:  ________________  Time:  ___________________

 Rehearsal Location:  _______________________________________________

   (If different than ceremony)  _______________________________________________

Date:  ________________  Time:  ___________________

Estimated Number of guest:  ______________     Will there be attendants:   NO    YES

Do you already have a marriage license:  NO   YES  Do you need information on obtaining one:  NO  YES

How did you hear of Linda Dale Brown-Justice of the Peace: ____________________________________

 

Services to be provided:

Ceremony :  Civil or Custom

Rehearsal:
Second Consultation:

Additional fees may apply for travel, parking, and park entrance fees.

 

Deposit Amount: _____________

Check Made out to:

Linda Dale Brown