Registration Form

Wedding Registration Form

Fields marked with an asterisk (*) are required.

Host 1Full Name*

Address*

City, State, Zip Code*

Email*

Phone number*

Military and School Status

Are you a University of Pittsburgh Alum?

Graduation year if Pitt Alum

Are you a Military Service Member?

*Please send a copy of your CAC (Active) or DD Form 214 (former or retired) to heinzchapel@pitt.edu

Host 2Full Name*

Address*

City, State, Zip Code*

Email*

Phone number*

Military and School Status

Are you a University of Pittsburgh Alum?

Graduation year if Pitt Alum

Are you a Military Service Member?

*Please send a copy of your CAC (Active) or DD Form 214 (former or retired) to heinzchapel@pitt.edu

Wedding Information

Access to the Chapel begins 30 minutes prior to your ceremony time. One hour and 15 minutes is designated for the ceremony and photography.

Wedding Date*

Ceremony Time*

Rehearsal InformationRehearsal Date

Rehearsal Time

Credit Card InformationCard Type*

Cardholder Name* (as shown on card)

Card Number*

Expiration Date*

Security Code*

Cardholder Address (from card billing address)*

City, State, Zip Code*

I agree to the terms of service outlined in the Heinz Memorial Chapel Use Rules and Requirements found here: Heinz Memorial Chapel Use Rules and Requirements.

I authorize the University of Pittsburgh to charge my credit card above for agreed upon costs and expenses. I understand that my information will be saved on file for future transactions.

Signature*

Date*

Message

Thank you! Your submission has been received!

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