YES, I am interested in entering into the Greater Rochester Bride & Grooms's drawing. To be eligible for the drawing simply fill out all the information in Part A and Part B and then click on the "Submit" button at the end of this form.

YES, I would like to receive a FREE bridal packet of wedding information (fill out Parts A and B then click on Submit at the end of this form)!

YES, I would like to receive FREE future issues of The Greater Rochester Bride & Groom (fill out Part A and then click on Submit at the end of this form)!


Part A

Wedding Date: Month - Day - Year -
Bride's Name:
Bride's Address:
Bride's City:
Bride's State:
Bride's Zip:
Bride's Phone Number with area code:
Bride's Birth Date: Month - Day - Year -
Bride's Email:
Groom's Name:
Groom's Street:
Groom's City:
Groom's State:
Groom's Zip:
Groom's Phone Number with area code:
Groom's Birth Date: Month - Day - Year -
Groom's Email:
How did you find this site?
What City and State are you getting married in?
Estimated Number of Guests?

 


Part B

Register to win wedding-related gift certificates and coupons! Fill out the below information and check the services you are interested in. If your name is chosen you will be contacted by mail, email or phone. To be eligible for the drawing this form must be completed.

I am interested in:

























If other, please specify:

Would you like to receive additional information on the categories you have selected above?

If, Yes, please make sure your email address is entered correctly in Part A.

Please share any comments/suggestions: