Name of the Bride ______________________________________________________________
Bride's Address ________________________________________________________________
City / State / Zip Code ___________________________________________________________
Telephone: Day ____________________________ Evening _____________________________Name
of the Groom _____________________________________________________________
Groom's Address _______________________________________________________________
City / State / Zip Code ___________________________________________________________
Telephone: Day ____________________________ Evening ______________________________
CHAPEL PACKAGE:
Day and Date of Wedding __________________________________ Time of Wedding_________
A Deposit of 50% of the Chapel Fee is required. Date of Deposit ______ Amount of Deposit
____
Minister Performing Wedding ________________________Affiliation:_______________________
Please estimate the number of guests attending the wedding ______ Maximum number of guests
is 75.
*NOTE: THE CHAPEL MAY NOT BE REARRANGED IN ANY FORM.*
Additional candles must have plastic wrap under them to protect the
altar.
*We do not allow hand held candles.*
*$100 DAMAGE DEPOSIT WILL BE ASSESSED FOR WAX CLEAN-UP.*
RECEPTION PACKAGE:
The Reception Package includes the following (see menu for suggestions):
Please check one for each of the two categories listed below:
**Sit Down Dinner ___________ Full Buffet __________
**Champagne Punch __________ Fruit Punch __________ Both __________
Standard Menu Rates: Please call for prices.
*Children under 5-12 are half-price, children under 5 are free.
Extras: *Cake Cutting Service Offered for a Fee
*You will need to supply your own wedding cake.*
Please estimate the number of guests attending the reception ________
*A final count is due 7 days prior to the reception. You will be charged for that
number or the
actual number, whichever is larger.*
Additional liquor needed: ____________________________________________________
NOTE: ALL ADDITIONAL LIQUOR WILL BE AT AN EXTRA COST. We do have a Colorado
Liquor License, sorry, you may not bring your own alcohol. Wine lists and rates for
champagne toast are
available upon request.
Will you be using our Dance Hall? ____ If yes, for what four hour time will you
need it? _______
_______ Please initial here.
We require a deposit of 50% for the chapel. The balance of the fee
will be required no later than the day of the wedding. Your booking
cannot be guaranteed without a deposit and a signed contract. If
you need to cancel your reservation for any reason, we will retain 50%
of your deposit if the cancellation is at least 30 days prior to the
wedding. Cancelling within 30 days of the wedding forfeits the deposit.
________________________________________________________________________________
Bride or Groom's Signature and Date
________________________________________________________________________________
Peaceful Valley Wedding Coordinator's Signature and Date
Return to:
Peaceful Valley Lodge and Guest Ranch
Attention: Wedding Coordinator
475 Peaceful Valley Road
Lyons, Colorado 80540
Telephone: 1 - 800 - 95 - LODGE, (303) 747 - 2881
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