S&B Professional Services Inc. 

Marriage by Proxy Service

Credit Card Authorization:  This must be signed by the person whose card has been used, whether yourself or some other person.

I have authorized S&B Professional Services Inc. to charge the sum of $_________

To credit card #_______________________________

Expiration Date__________

For a marriage by proxy for______________________ and ___________________________

Signature of card holder_________________________

Address__________________________________________

City________________ State___________ Zip code_________

Telephone Number_____________________________

S&B Professional Services Inc. acts as an arrangement service only.  We assist the client in filling out the required forms, and arrange for a licensed paralegal in Colorado to review them in order to obtain a Marriage Certificate.

It is the client's responsibility to complete all forms truthfully and correctly.  It is the client's responsibility to send to us all required documentation that is necessary to process a Marriage by Proxy.

It is the sole responsibility of the client to first check with the appropriate authority to which the marriage certificate needs to be presented as to the recognition and acceptance of the certificate before you proceed.

If the Marriage Certificate needs to be submitted to Immigration Authorities, it is the client's sole responsibility to first check with an immigration attorney before proceeding.    

S&B Professional Services Inc. shall not be responsible for any consequential damages as a result of any breech of this agreement or any damages that occur as an Act of God.

In the event there is a cancellation, there will be a cancellation charge of $250.00

The undersigned has read and understands and agrees to the above terms.

Signature of client _____________________________

Please Fax this form to: 1-610-644-2860

If you have any questions call us toll free at:
1-877-482-2406

From Overseas: 001-610-644-2860

Mailing Address: S&B Professional Services Inc.
P O Box 675
Edgemont, Pa. 19028