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Begin Planning Your Commitment Ceremony in Bali
 
When you are ready to begin planning your Commitment Ceremony in Bali, we request that you fill in the form below. Please be advised that this information will eventually be required to issue a 'Commitment Ceremony' certificate.

We only request that information that is required to process your certificate. For more information on your privacy please click here see our faqs.

 
Please fill in all fields
 
Your name and how to contact you
  Your name - required
  Your email - required
  Telephone (w/ area code)
  Fax (w/ area code)
  Mobile (w/ area code)
 
Desired Wedding
 
Venue (if known)
 
Wedding date
 
Bride
  Name
  Nationality
  Date of Birth
  Place of Birth
  Religion
  Occupation
  Permanent Address
 
Groom
  Name
  Nationality
  Date of Birth
  Place of Birth
  Religion
  Occupation
  Permanent Address
 
Additional Information
Optional, if you do not have any witnesses please leave blank, BaliWeddings.com is able to provide witnesses for you.
 
First Witness
  Name
  Age
  Religion
  Occupation
  Permanent Address
 
Second Witness
  Name
  Age
  Religion
  Occupation
  Permanent Address
     
Additional Questions or Requests that will help us plan your commitment ceremony
 
   
  Verification Code
Please type the verication code above