Wedding Application

Name:

Address:

City: State:

Zip Code:

Home Phone: Work Phone:

E-Mail Address:

Select any of the following who are a University of Missouri-St. Louis enrolled student or alumni:

Name of Student:

Semester/Year enrolled:

Name of alumni:

Year Graduated:

Select any of the following who are a University of Missouri-St. Louis faculty or staff:

Name of Employee:

College, School, Department:

Are you purchasing insurance from the University? YES NO

REHEARSAL: (may be scheduled no later than 7:00 pm)

Date: Time:

WEDDING:

Date: Time:

Number of Guests:

COMPLETE BELOW IF YOU PLAN TO HAVE YOUR REHEARSAL DINNER ON THE UNIVERSITY OF MISSOURI-ST. LOUIS CAMPUS

If you plan on using the Millennium Student Center for your rehearsal dinner or reception, please contact Brenda Jackson at (314) 516-4346 to make your arrangements.

REHEARSAL DINNER LOCATION:

HOW DID YOU HEAR ABOUT US: