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Debra Lievense

Authorised Marriage Celebrant

We seem to be getting along fine so far - now to actually contact me!

You can telephone or e-mail me with a brief message or you can complete the form below then e-mail it to me. Or you can do both.

The form provides me with useful information, and helps to set things down for you. If you prefer we can complete a similar form together at my home.

A wedding - a wish and a dream.
Please note: The fields maked with * must be completed.
Name of person completing this form *
Your E-mail Address *
Planned date, day not required. dd/mm/yy *
Prefered time of service
Planned Venue (and address)
Bride's full name *
Groom's full name *
Postal Address *
Suburb *
Post Code *
Day-time contact number *
Mobile phone number
Comments and Information
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