Bride's Name: (required)
Groom's Name: (required)
Mailing Address:
Phone Number:
Fax Number:
E-mail address: (required)
Preferred method of contact:
Telephone Email Fax
Which Island:
Accommodations:
# of Guests:
Date of arrival:
Date of departure:
First choice wedding date:
Second choice wedding date:
Time of day:
Wedding Package:
Enhancements:
photography florals food and beverage stylists releases transportation other (please specify):
Wedding site (if known):
Attire:
Date for marriage license appointment:
Type of card for deposit ($200 non-refundable):
Credit card number:
Expiration date: (month/year)
Security Code(CVC): (from back of card)
Please inform us of any questions, concerns or special requests:
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Hawaiian Romance 159 Luakaha Circle, Kihei, Maui, Hawaii 96753 - Email: info@hawaiianromance.comtoll free: 1.800.377.9745 - in Hawaii: 808.874.8675 - Fax: 808.875.0845