Reservations Groom's First Name: Groom's Last Name: Bride's First Name: Bride's Last Name: Email Address: Address: City: State: Zip Code: Phone Number: Alt. Phone #: Desired Date of Wedding: Month... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemeberDecember Day... 12345678910111213141516171819202122232425262728293031 Year... 20172018201920202021 Desired Time of Wedding: Hour... 1:001:302:002:303:003:304:004:305:005:306:006:307:007:308:008:309:009:3010:0010:3011:0011:3012:0012:30 AM PM Number of Guests Attending: Name of Hotel Required for Transportation Services only Name of your Hotel: Wedding Packages: Please select the package you are interested in. To review packages, click here. Please select the type of service to be performed. Getting Married Renewal of Vows Services For Everyone: "I Do Service" $175.00 "I Do Service With Transportation" $255.00 Items such as flowers, pictures, and DVD's may be requested at the time of your service. Deluxe Wedding Packages: "I" $325.00 "II" $375.00 "III" $395.00 "IV" $575.00 Additional Options: Add Elvis in the building for $150? Yes No Do you need to rent a Tux? Yes No Do you need to rent a Gown? Yes No For pricing on all options please call our wedding coordinators. (702) 735-6803 Type of Credit Card: Visa MasterCard American Express Discover Card Number: Expiration Date: Month... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemeberDecember Year... 2017201820192020202120222023202420252026 Name of Cardholder: Address of Cardholder: City of Cardholder: State/Province/Region Postal/Zip Code of Cardholder: Country of Cardholder: Afghanistan Albania Algeria Andorra Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Phone Number of Cardholder: If you do not wish to enter a credit card number online you can print this page out, write in the information, sign and then fax to Chapel of the Bells at (702) 897-4816. If you prefer you may book your wedding by calling us direct at 1-800-233-2391 within the U.S. and Canada (702) 735-6803 from outside the U.S. You may also print the reservation form, write in the information and mail with a deposit (check or money order) to: Chapel of The Bells 2233 Las Vegas Blvd. South Las Vegas, NV 89104 (702) 735-6803 / (800) 233-2391 Questions and Comments: After completing and submitting this "Reservation Form" the chapel will contact you via E-mail to confirm details and answer any questions. Chapel of the Bells Thanks You and looks forward to serving you! I Agree to Chapel of The Bells terms and conditions and to a $95.00 non-refundable deposit Some Holidays could have a price upgrade.