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Rector Please return this form to Diocesan Office directly after ceremony Report to the Bishop In accordance with Title I Canon 19 Section 3 c DIOCESE OF WESTERN MASSACHUSETTS Having received permission from The Bishop on date To solemnize the marriage of and Groom s full name Bride s full name Performed at Parish town city state zip code Join them in Holy Matrimony on Date They expect to live at the following address Street city state zip code Signature of Clergy may be filled out...

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