Name: Email: Preferred Phone: Address 1: Address 2: City: State: Select One: Alabama (AL)Alaska (AK)Arizona (AZ)Arkansas (AR)California (CA)Colorado (CO)Connecticut (CT)Delaware (DE)District of Columbia (DC)Florida (FL)Georgia (GA)Hawaii (HI)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky (KY)Louisiana (LA)Maine (ME)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)Missouri (MO)Montana (MT)Nebraska (NE)Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Ohio (OH)Oklahoma (OK)Oregon (OR)Pennsylvania (PA)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virginia (VA)Washington (WA)West Virginia (WV)Wisconsin (WI)Wyoming (WY) Zip: Hometown: How long have you been part of the Upper Room community?
What areas have you been involved in at the Upper Room?
Desired Wedding choice 1 (Date/Time): Desired Wedding choice 2 (Date/Time): Desired Wedding location: Upper Room St Louis Park Location Offsite Location
Are you requesting an Upper Room pastor to officiate your wedding? Yes No
Do you have a personal connection with a UR staff pastor that you would like to request to officiate your wedding? (Requests are subject to pastor availability.)
Which day's are best for you to meet with a pastor during the week?