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Provincial House Chapel
Wedding Date Request Application

Please fill out all fields of this form to the best of your knowledge. Also note the following:
  • Please call the Coordinator and confirming the availability of the wedding date(s) you have in mind prior to filling out this form.
  • Due to the popularity of the chapel, reservations are on a first come first serve basis. Our offices will hold your requested date application for 48 hours without the 25% prepayment of the facility fee listed above. Please note that our receipt of an application does not guarantee the requested date.
    • Acceptable forms of deposit payment: cash, check, or money orders made payable to UM - St. Louis. Credit card payments can also be accepted.
  • Upon our receipt of your application and 25% prepayment of the facility fee, a confirmation package will be mailed to you. Your wedding is considered booked only when you receive a written confirmation package from Conference and Event Services.
If you should have any problems or questions filling out this form, please contact the Coordinator at 314.516.4399.

Fields denoted with an asterisk (*) are required

THE HAPPY COUPLE'S INFORMATION
*Bride's Name:
*Groom's Name:
*Address:
*City:
*State:
*Zip Code:
THE HAPPY COUPLE'S CONTACT INFORMATION
*Daytime Phone:
*Mobile Phone:
*E-Mail Address:
Best Contact Method:
THE HAPPY COUPLE'S AFFILATION
Select any of the following who are a University of Missouri - St. Louis enrolled student, alumni, faculty, or staff:

If Yes, please complete the lilac section below.
Name of UM-St. Louis Student/Employee/Alumni:
Semester/Year Enrolled:
Year Graduated:
College, School, Department:
REHEARSAL: *must be scheduled to begin no later than 7:00 pm*
*Rehearsal Date:
*Time:
REHEARSAL DINNER: If you plan on using the Museum Room, please contact the Coordinator at (314) 516-4399. If you would like to use 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:
WEDDING: *here comes the bride*  (required)
*Wedding Date:
*Ceremony Time (AM or PM):
*Number of Anticipated Guests:

Are you purchasing insurance from the University?
*Insurance Requirements*

How did you hear about us?