At this time, are both applicants age 18 or older?* Yes No At this time, has a divorce been granted to either applicant within the last 60 days?* Yes No Wedding Date and TimeAt what time and date do you wish to be married? Please note that any time outside of our business hours (Monday – Friday 8am – 5pm MST) may be subject to an additional appointment fee of $99.Appointment Time* Hours : Minutes AM PM AM/PM Appointment Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Your Full Name* First Full Middle Name Last Fiance Full Name* First Full Middle Name Last Your Phone*Your Email* Marriage Certificate Delivery DetailsTo whom should we send the marriage certificate? We can only send one copy, but the email address listed will receive an electronic copy.Name of Recipient* First Last Recipient Phone*Recipient Email* Additional DetailsDo You Require Witnesses?* No Yes 1 Witness +$25 Yes 2 Witnesses +$50 There must be 2 witnesses at your wedding. Should you need witnesses we can provide them:Do You Wish to be Married Online Within 24 Hours?* No Yes + $250 I Certify and Declare* I declare all statements on this application are true. I declare under penalty of perjury under the laws of the state of Utah that the information I have provided on this marriage license application form is true and correct. I also declare that I am not under duress, nor am I under the influence of drugs or alcohol.SignatureSilver Package Cost* Price: Total
