Mr. Burch Formal Wear

Who is completing the registration form?

Bride

Groom

Store:* -- Downtown Birmingham Mountain Brook Inverness Corners Hoover Commons Western Hills Mall Edgemont Town Center Trussville Colonial Promenade

Let's start with some information about the Groom

*Groom's Name:*

Street Address:*

City, State, Zip:*

Work Phone: (xxx-xxx-xxxx format)

Home Phone:* (xxx-xxx-xxxx format)

Email:

Now, some information about the Bride

Bride's Name:*

Street Address:*

City, State, Zip:*

Work Phone: (xxx-xxx-xxxx format)

Home Phone:* (xxx-xxx-xxxx format)

Email:*

And finally, some information about your wedding plans

Wedding Date:* -- 01 02 03 04 05 06 07 08 09 10 11 12 -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- 2009 2010 2011 2012 2013

Wedding Location:*

Wedding Time:*

# of Tuxedos in Wedding:* (Be sure to count the Ringbearer, Father of the Bride, Ushers, and the Groom)