Request a Date

These forms will be evaluated in the order received. Duplication and additional phone calls will only slow the process. We will contact you within two business days of form submission.

Are you a member of HPUMC? *

Yes

Request Wedding Date #1 * +

Requested Time - Date #1 *

Request Wedding Date #2 * +

Requested Time - Date #2 *

Request Wedding Date #3 * +

Requested Time - Date #3 *

Bride Name *

Bride Phone Number *

Bride Email Address *

Groom Name *

Groom Phone Number *

Groom Email Address *