Please complete the following brief form in order to receive detailed information from
Dr. Janine H. Burns , Chaplain
Your Name
Grooms Name
Address
City / Town
State
*
Zip Code
Phone #
Email Address*
Wedding Date
Time of Ceremony
Ceremony Location
Bavarian Inn
Captain Bill's
Chateau Briand
Chateau La Mer
Coral House
East Wind Caterers
Elegante Caterers
Flowerfield
Fox Hollow
Inn On The Harbor
Garden City Hotel
Georgio's
Irish Coffee Pub
John Anthonys
Land's End
Larkfield Manor
Majestic Gardens
Martha Jefferson
Meadow Club
Middle Island Country Club
Miller Place Inn
Oheka Castle
Port Jefferson Country Club
Radisson Hotel
Riviera
River View
Smithtown Landing
South Bay Cruises
Stone Bridge Country Club
Thatched Cottage
The Hamlet
The Harbor Club
The Metropolitan
The Pavilion
Three Village Inn
The Swan Club
Timber Point
Villa Lombardis
Vineyard Caterers
Watermill Caterers
Westbury Manor
West Sayville Country Club
Windows on the Lake
Woodbury Country Club
Wyndham Windwatch
Other
If your location is not listed please enter your location in this space
Service Type
Wedding Celebration
Birthday Blessing
Corporate Event Invocation
Memorial Services
Baby Naming
Baby Blessing
Renewal of Vows
Second Marriage
Guest Lecturer
Spiritual Counseling
Other
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