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PLC:

a005yj

Agency:

cass county auditor

For:

wedding ceremonies - remote

Phone:

701-241-5606

Address:

211 9th street south
fargo, north dakota 58103

*Required Field

Payment Information

PLEASE CONTACT THE FINANCE OFFICE AT 701-241-5600 TO ENSURE THE DATE AND TIME SELECTED IS AVAILABLE

*Brides Maiden Name:

Middle:

*Last:

*Grooms Name:

Middle:

*Last:

Courthouse weddings will be performed M-F ONLY.

*Wedding Date:

(Month / Day / Year)

*Requested time of Ceremony:

*THE CEREMONY FEE IS NON-REFUNDABLE:

Acknowledge

Payment Amount

Wedding Ceremony Payment :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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