JUSTICE OF THE PEACE
PRECINCT ONE
BASTROP, TEXAS 78602
Wedding Request Form
CINDY ALLEN
JUDGE
P.O. Box 336
(512) 581-4258
Bride: ________________________________ Groom:________________________________
Contact Person Name & Number: _________________________________________________________
Date: _________________________________ Time: _________________________________
Date License Issued: _____________________ County Issued By: _______________________
Dress Code: _____ Formal _____ Informal _____Casual
Number in Wedding Party: _________________
Address of Bride: _____________________________________________________________________
Address of Groom: ____________________________________________________________________
Location: ____________________________________________________________________________
Directions: ___________________________________________________________________________
_____________________________________________________________________________________
Please call (512) 581-4234 to set up a wedding, and have the above information ready. You may also fax
your request to (512) 581-4254. If someone has not contacted you within 24 hours, please call our office.