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MAKE ONLINE CREDIT CARD & E-CHECK PAYMENTS WITH PAY PAL! |
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Date of Wedding/Event?* |
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Your Name:* |
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Groom's Name: If service is for you |
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Street Address:* |
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City, State, Country &Zip/Postal Code* |
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Fax Phone# |
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Cellular/Pager # |
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Home Telephone #* |
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Work Telephone # |
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Number of Guests: |
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Email Address:* |
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Estimated Wedding Budget$: |
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Wedding Colors: |
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Wedding Style or Theme: |
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Do you know of someone who is getting married or having a special event in Las Vegas? The gift of the services from a Certified June Wedding, Inc. Wedding Consultant would be appreciated by any Destination Las Vegs Wedding Couple to be! Allow Your Las Vegas Wedding Concierge to assist in providing a Gift Certificate that will be beautifully gift wrapped that can be presented by you or mailed to the recipient. You may purchase a gift certificate for the full price of any of the services listed below. You may also purchase gift certificates in denominations of $25.00 for your recepient to be used towards any of the services listed below. |
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Names of Recepients (Bride and Groom): |
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Do you want the gift certicate mailed to you or directly to the recepient? |
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Recepient's Home Telephone# |
Recepients Complete Address: |
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Your Message to be Included in Gift Certificate: |
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What type of Gift Certificate do you wish to purchase? |
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Click Pay Pay Button to purchase $25.00 Gift Certificates. |
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PLEASE CHOOSE & PAY FOR DESIRED WEDDING PACKAGE |
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*Indicate Method of Payment for this service in $US |
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*Indicate Method of Payment for this service in $US |
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OR PLEASE CHOOSE & PAY FOR DESIRED "SELECT" WEDDING SERVICE |
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*Indicate Method of Payment for this service in $US |
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Indicate Vendor Category |
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Number of Categories |
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*Indicate Method of Payment for this service in $US |
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Name topic or service? |
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*Scheduling your consultation for a time when you are able to speak about the details of your wedding free from time and work pressures will maximize the benefit you receive from your consultation. Also, please provide two (2)choices for available times. When requesting a time, please give us a one hour window. *Other "Select" consulting/coordination services may be billed at our flat rate. Please ask us for details regarding a quote. |
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1st requested date: |
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1st requested time: |
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Number of Consultations |
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2nd requested date: |
2nd requested time: |
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*Indicate Method of Payment for this service in $US |
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*Indicate Method of Payment for this service in $US |
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*Indicate Method of Payment for this service in $US |
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Please Indicate your choice(s) |
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*Indicate Method of Payment for this service in $US |
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Number of meetings |
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Name Vendors |
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*Indicate Method of Payment for this service in $US |
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*Indicate Method of Payment for this service in $US |
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*Indicate Method of Payment for this service in $US |
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Click Pay Pal Button for Basic Service |
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Click Pay Pal Button for "Sterling: Service |
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Your Las Vegas Wedding Concierge is proud to be the Exclusive Las Vegas Representative offering limited Edition Art Ketubot from Art Ketubah.com. In addition, we reprsent extraordinary ketubot from E-Ketubah.com For more information and to receive information on obtaining a special offer through Your Las Vegas Wedding Concierge for these beautiful products, please visit our Ketubah Information Page |
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*********************************************************** Click on "View Shopping Cart" to see the entire contents of your order before continuing with your Pay Pal transaction. |
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Please Note Here any Addtional Special Circumstances or Questions: |
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PLEASE COMPLETE FORM AND SUBMIT |
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USER AGREEMENT FOR ORDERING "SELECT" WEDDING SERVICES ONLINE. PLEASE READ CAREFULLY!! We can not commence ANY service without acceptance of this agreement. To view this Agreement on line, please click on the "Online Agreement" link, or you may also click here. |
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Please Sign Name* |
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On this Date:* |
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If you have not already done so, please make your payment for the service(s) you have ordered. |
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info@lvweddingconcierge.com . phone: 702.367.WEDS (9337) Copyright 2002-2003 Your Las Vegas Wedding Concierge On Line & On Location Destination Planning Services A Division of the TEKM Services, Inc. Family . All Rights Reserved Site Designed and Maintained by T. Kumer-Moore, JWIC |
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