Wedding Fee Chart

Lewisberry United Methodist Church

309 Market Street, Lewisberry, PA 17339

(717) 938-2093

Wedding Non-Member Fee Summary

Groom Name: _____________________ Bride Name: _______________________

Address: ______________________________________________________________

Phone: _____________________

Wedding Date: _____________

* Please attached fee schedule to completed User Agreement

Lewisberry United Methodist Church

309 Market Street, Lewisberry, PA 17339

(717) 938-2093

Wedding Information

Proposed Wedding Date: _____________________

Rehearsal Date: _____________________

Groom Name: ________________________________________

Groom Address: _________________________________________________________

________________________________________________________________________

Groom Phone: ______________________ Email: _____________________________

Bride Name: ________________________________________

Bride Address: __________________________________________________________

________________________________________________________________________

Bride Phone: _______________________ Email: _____________________________

Maid / Matron of Honor: ____________________

Best Man: ________________________________

Bride’s Maids: _____________________________

__________________________________________

__________________________________________

__________________________________________

Groomsmen / Ushers: ________________________

__________________________________________

__________________________________________

__________________________________________

Counseling Session Dates: _________________________________________________

Other Information: _______________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Understands LUMC Wedding Policy and Fees: _______________________

(Signature)