Rev. Susanna Stefanachi Macomb

PHONE: 212-663-1044  EMAIL:


Ceremony Request Form

* Represents Required Fields



*Type of Service Required:

*Full Name/(s):

*Email Address:

**Note to AOL, EarthLink and Hotmail users: Due to the filters utilized by these email servers, please check your SPAM/BULK folder, as many times

attachments will not be delivered to your inbox.  You can also include another email address in the additional comments below.

How did you find me?

*Phone Number:      

For U.S. residents please include your area code.  For non U.S. residents, please include your country code.

Postal Address: 

Please include Address, City, State and Zip Code

*Date of Ceremony:    

 Please include month/date/year.  For example: 07/23/2016.   If you have not secured a date please give us an approximate date.  Otherwise write "unknown".

*Time of Ceremony:

If you have not secured a time, please give an approximate.  Otherwise, write "unknown".  Please include AM or PM.  For example: 2:00PM

*Place of Ceremony:

Please include the NAME of the VENUE and the address if secured.

 Describe your Religious/Spiritual Background/s and Belief/s:

Describe your Cultural Background/s:

Type of service you envision:

For example, how long do you envision your ceremony?  Are you looking for a ceremony that is religious, spiritual, humanist, non-denominational,

cultural, interfaith, intercultural etc.  Is there anything specific you wish to include in your ceremony? 

That is, specific rituals, personalization, honoring family members, special needs or wishes etc.

Additional comments or information:

WEDDINGS: Please include the name of your partner.  You may also include another email address below or the name of your wedding planner.

BABY BLESSINGS:  Please include your child's full name as well as his/her age.  If your date is flexible, please include below. 

VOW RENEWAL:  If you will be visiting New Your City, please include your travel plans, including hotel, date of arrival and departure.  If you have

not secured a date or venue, please try to narrow it down for us.