COMPLETE THE CEREMONY BOOKING FORM BELOW OR Phone 702 739 7971 or Toll Free +1 (800) 821-2452 Booking Form Couples Info Party 1 * Title Mr Mrs Ms Miss Party 1 - First Name * First Name Party 1 - Last Name * Last Name Party 2 * Title Mr Mrs Ms Miss Party 2 - First Name * First Name Party 2 - Last Name * Last Name Contact Email * Phone Number * Shipping Address Shipping Address Shipping Address Shipping Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Your Ceremony Reservation Date * Preferred Time * 121234567891011 : 0030 AMPMbased on availability - Ceremonies are available from 10am - 10pm Ceremony Type * Wedding Vow Renewal Ceremony Performed by * Minister Elvis Choose the language for your ceremony * English Spanish French (additional $100) Italian (additional $100) German (additional $100) Portuguese (additional $100) Venue * Chapel Garden Fabulous Welcome to Las Vegas Sign Las Vegas Harley-Davidson® Select your package * Ace of Hearts $209 (Limited to 10 Guests) Neon Lights $399 Champagne Supernova $695 The Headliner $995 The High Roller $2495 The Sign (Ceremony at the famous Welcome to Las Vegas Sign) The Icon (Ceremony at the famous Welcome to Las Vegas Sign) The Show Stopper (Ceremony at the famous Welcome to Las Vegas Sign)8.35% Sales Tax will be added to the package price. Minister/Elvis Fees will be paid in cash on the day of your ceremony. 10% surcharge will be added to the package price for ceremonies performed on a Saturday No other hidden Fees ! Optional Add-Ons Party Bus - $250 per hour Limo to Fabulous Las Vegas SIGN & Photo Shoot - $495 Scottish Bagpiper - $275 Las Vegas Wedding Singer - $250 Nelson's Landing Photo Tour- $895 Champagne Toast - $495 Stay Separate Suite (15 mins use) - $95 Ultimate Bridal Suite Cerebration (30 mins use) - $195 Downtown Vegas Photo Shoot - $695 Reception Photography- $495 per hour Flower Color * Number of Guests * Hotel / Lodging (Mark "to be determined" if unsure at this time) Live Stream My Ceremony FREE ! * Yes NoSend your friends to www.littlechurchofthewest.com and click LIVE STREAM Payment Info Credit Card Type * Visa Mastercard American Express Discover Name on Card * Credit Card Number * Expiry Date MM/YY * CID Security Code * Message Submit
