Contact Information:

Agency Telephone

Full Name * Email *

Country of residence

ABOUT THE BRIDE

Bride Name Religion

Country of Citizenship Your first wedding? Yes No

ABOUT THE GROOM

Groom Name Religion

Country of Citizenship Your first wedding? Yes No

ABOUT THE CEREMONY

Type of Ceremony Choose one Civil Wedding Catholic Wedding Renewal of Vows Symbolic - not legally binding Protestant Jewish Eastern Orthodox Church Setting of Ceremony Choose one Private Villa Ancient Palazzo Medieval Castle Church Chapel Luxury Hotel Private Garden Terrace overlooking sea Lake front Beach front Gondola in Venice Private Yacht Other Undecided

Wedding Date Wedding Location Choose one Amalfi Coast Florence Italian Riviera Lake District Milan Rome Sardinia Sicily Tuscany Venice Verona Other Undecided Accommodation Required? Yes

Wish List (check all that apply):

Transportation Bouquet & Boutonnier Flowers Photography Videography

Make-Up Artist Hairdresser Wedding Rings Gown & Tuxedo Wedding Favours

Wedding Invitations Ceremony Program

ABOUT THE RECEPTION

Number of Guests (approximate) Setting of Reception Choose one Private Villa Ancient Palazzo Medieval Castle Luxury Hotel Private Garden Outdoor Park Terrace overlooking sea Lake front Beach front Private Yacht Undecided

Wish List (check all that apply):

Transportation Music Flowers Photography Videography Wedding Cake

Menu printing Fireworks Decorations eg. chair covers, special table setting

Theme eg. medieval Wedding Planner assistance

Estimated Budget for Wedding Estimated Budget for Reception

Anything you would like to add?

Thank you for your request.