Reservation Request
Payments Submitted Are Non-refundable
Your Name
*
First Name
Last Name
Your Email
*
Phone Number
*
-
Area Code
Phone Number
Your Date Of Birth
*
Back
Next
Requested Date And Time
*
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
If requesting travel to your location enter address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Back
Next
Fiancee's or Partner's Name
*
First Name
Last Name
Email
*
example@example.com
Phone or Mobile Number
*
-
Area Code
Phone Number
Birthdate
*
Back
Next
Services Requested Check All That Apply
*
prev
next
( X )
Signature-Only™Marriage Missouri
$
80.00
Location
Kansas City, MO
Lee's Summit, MO
Your Location
Item subtotal:
$
0.00
Signature-Only™Marriage Kansas
$
90.00
Location
Overland Park, KS
Leawood, KS
Your Location
Item subtotal:
$
0.00
Courthouse License Signing
$
80.00
Select Courthouse
Kansas City, MO
Independence, MO
Courthouse Wedding Ceremony
$
100.00
Select Courthouse
Kansas City, MO
Independence, MO
Witnesses
$
15.00
Quantity
One
Two
Item subtotal:
$
0.00
Sweet & Intimate Ceremony - Couple Only
$
125.00
Sweet & Intimate Ceremony - Max 25
$
150.00
Sweet & Intimate Ceremony - Max 50
$
200.00
Enter coupon
Apply
Total
$
0.00
Signature Required
*
Use Mouse or Finger To Sign
Go to payment page
Clear Form
Print Form
Should be Empty: