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**Form must be complete **We will call you to set up an appointment **Both parties must be present with ID **Cost is $25 cash only **No same day appointments**
**Please do not submit application if marriage date is further than a month**
insert information on applicant #2
Name (First, Middle, Last)
Month/Day/Year
(xxx-xxx-xxxx)
Street Address, City, State, Zip Code
City and State or City and Country
This field is not part of the form submission.
* indicates a required field