Brides First & Last Name:
*
Grooms First & Last Name:
*
Your Name:
*
Engagement Date:
*
Wedding Date:
*
Phone:
*
Email:
*
Mailing Address:
*
City, State and Zip Code:
*
Name on credit card:
*
Credit card number:
*
Expiration Month:
*
Expiration Year:
*
Security Code on back:
*
Billing Address:
*
Billing City and State:
*
Billing Zip Code:
*
PROMO Code
Is this a gift?
*
NO
YES
Choose Workbook Format:
*
e-Workbook ONLY: $14.95
Perfect-bound Workbook + e-Workbook: $39.95 + $4.95 S&H
TERMS OF AGREEMENT: I authorize Chicago Wedding Workbook to charge my credit card for purchase of the Chicago Wedding Workbook in the format chosen above, in amount of $14.95 for the e-Workbook or $39.95 + S&H for the perfect-bound Workbook.