Please fill out this form and, print it and mail it with your check or money order of $300 to our home office at this address. We also except credit cards in person or over the phone. (PayPal too)
Medina Wedding Chapel N853 Julius Drive Appleton, WI 54914-9197
Please call or text us at (920) 707-6250 or e-mail us at medinachapel@gmail.com to confirm that the date you have requested is available before sending in your deposit. The chapel is available for weddings from mid April thru mid November. The chapel is available for tours anytime of the year. Call for an appointment.
Today’s Date: E-Mail Address: Names (First & Last): : City, State, Cell Phone: Cell Phone: Wedding Date: Day of the week:
Time of Ceremony: Rental Hours: We would like to reserve the chapel from to For example: You might have a 3:00 ceremony and rent the church from 2:00 to 4:30 We will locate a pastor/judge for your wedding. Which would you prefer?
How would you like your names to appear on the chapel sign? ___________________________________ For example: Mary & David David & Mary
Description
Total
Your Wedding Ceremony at the Medina Wedding Chapel
$825.00
3 piece Unity Candle set ($25)
Aisle Runner ($25)
Window Candles 16 pcs ($30)
Sand Ceremony Unity Kits ($20-$55)
Subtotal
5.5% Wisconsin sales tax
Total
Subtract $300 non-refundable deposit to reserve date
-300.00
Balance due
Balance must be paid one week before ceremony Date due
Note: If this page is sent by mail, a confirmation email will be sent back to you showing deposit paid, balance due, date due, wedding date and time, and any options you may have added. If it is returned in person, a copy will be made of this page at that time for your records.
