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 * First Name Shipping Address Shipping Address Shipping Address Shipping Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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 Mini Elvis Johnny Cash 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 * The Elopement $199 - 0 Guests, Mon to Fri 10am to 4pm Ace of Hearts $299 (Limited to 10 Guests) Neon Lights $399 Supernova Love $695 The Headliner $995 Desert Stardust $1495 Ace of Hearts At the SIGN $519 (Limited to 10 Guests) Neon Lights At the SIGN $619 Supernova Love At the SIGN $9158.35% 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 Friday, Saturday or Sunday No other hidden Fees ! Package Add-Ons Party Bus - (2 hr Min) Call for current prices Limo to Las Vegas SIGN & Photo Shoot - $495 Scottish Bagpiper - $275 Las Vegas Wedding Singer - $250 Champagne Toast - $495 Stay Separate Suite (15 mins use) - $95 Ultimate Bridal Suite (30 mins use) - $195 Rose Color (Only Red or Ivory with the Elopement & Ace of Hearts Packages) Red White Pink Ivory 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. Livestream is not available at the Las Vegas Sign or Harley-Davidson locations. Options (Full Payment will be charged for ceremonies in the next 60 days) * Pay the package in full online and receive a flower upgrade Save the date with a $100 deposit. (Your confirmation email will show future payment dates) Payment Info Credit Card Type * Visa Mastercard American Express Discover Name on Card * Credit Card Number * Expiry Date MM/YY * BiIling Zip Code * Message If you are human, leave this field blank. Submit
