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A Family-Oriented Ministry locationed in Las Vegas, Nevada

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Pre-Marital Counseling

Groom's Name*
First Last
Groom's Email
Groom's Phone*
Have you been married before?*
- Yes
- No
Are you a member of the IROB Church?*
- Member
- Not a Member
- Attender
Bride's Name*
First Last
Bride's Email*
Bride's Phone*
Have you been married before?*
- Yes
- No
Are you a member of the IROB Church?*
- Member
- Not a Member
- Attender
Expected Wedding Date*
Date Format: MM slash DD slash YYYY
How did you hear about our pre-marital counseling?*
Submitted by*
- Groom
- Brided

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