Wedding request form – Borough of Mount Pocono
Name of Partner: ____________________________________
Name of Partner: __________________________________
Address: ________________________________________
Phone #: ________________________
Cell Phone #: ____________________
Email: _______________________
Date of Wedding: _____________________
Time: _________________
Anticipated # of Guests: ______
Single _____ or Double Ring _____
Place: ____________________________________
Have license ?: Yes _____ No ______
Note that a wedding license application has a three-day waiting period, and is are good for 60 days after issuance.
Fee: $150 (cash or check/money order made out to “Mount Pocono Borough”
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