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                                      MARRIAGE 'REGISTRATION' FORM
NOTE: Appropriate Marriage Affidavit Must be submitted, along with fee, concurrent with this
form for successful Marriage Registration. FEE is $10.00 unless submitted by masajid 'registered' with
Muslim Vital Records. 'Registering' your marriage allows us to create a permanent record and position us to
be able issue a marriage Certificate on demand, without further proof. Send to:
                                                                     Muslim Vital Records
                                                                     P.O. Box 305
                                                                     Oaklyn, N. J. 08107
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MARRIAGE REGISTRATION APPLICATION