Marriage Kiosk
Spouse 1
Gender
(Género)
Race
(Raza)
--Select One--
FEMALE
MALE
--Select One--
ALASKAN
ASIAN
BLACK
HISPANIC
INDIAN
MIDDLE EASTERN
NATIVE AMERICAN
OTHER
PACIFIC ISLANDER
WHITE
First Name
(Nombre Primero)
Middle Name
(Segundo Nombre)
Last Name
(Apellido)
Suffix Name
(Sufijo)
Given/Maiden Name
(Nombre de soltera)
Education
--Select One--
College 1yr
College 2yrs
College 3yrs
College 4yrs
College+5yrs
Grd0
Grd1
Grd10
Grd11
Grd12
Grd2
Grd3
Grd4
Grd5
Grd6
Grd7
Grd8
Grd9
Street Address
(Direccion)
City
(Ciudad)
State
(Estado o Pais)
Zip Code
(Código Postal)
AGUASCALIENTES (AG-MX)
ALABAMA (AL)
ALASKA (AK)
ALBERTA (AB-CAN)
AMERICAN SAMOA (AS)
ARIZONA (AZ)
ARKANSAS (AR)
ARMED FORCES AFRICA (AE-AFR)
ARMED FORCES AMERICAS (AA)
ARMED FORCES CANADA (AE-CAN)
ARMED FORCES EUROPE (AE-EUR)
ARMED FORCES MIDDLE EAST (AE-ME)
ARMED FORCES OTHERS (AE-OTHER)
ARMED FORCES PACIFIC (AP)
BAJA CALIFORNIA (BN-MX)
BAJA CALIFORNIA SUR (BS-MX)
BRITISH COLUMBIA (BC-CAN)
CALIFORNIA (CA)
CAMPECHE (CM-MX)
CHIAPAS (CP-MX)
CHIHUAHUA (CH-MX)
COAHUILA (CA-MX)
COLIMA (CL-MX)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DISTRICT OF COLUMBIA (DC)
DISTRITO FEDERAL (DF-MX)
DURANGO (DU-MX)
FLORIDA (FL)
GEORGIA (GA)
GUAM (GU)
GUANAJUATO (GT-MX)
GUERRERO (GR-MX)
HAWAII (HI)
HIDALGO (HG-MX)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
JALISCO (JA-MX)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MANITOBA (MB-CANADA)
MARYLAND (MD)
MASSACHUSETTS (MA)
MEXICO (MX-MX)
MICHIGAN (MI)
MICHOACAN (MC-MX)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
MORELOS (MR-MX)
NAYARIT (NA-MX)
NEBRASKA (NE)
NEVADA (NV)
NEW BRUNSWICK (NB-CAN)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NEWFOUNDLAND (NL-CAN)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
NORTHERN MARIANA ISLANDS (MP)
NORTHWEST TERRITORY (NT-CAN)
NOVA SCOTIA (NS-CAN)
NUEVO LEON (NL-MX)
NUNAVUT (NU-CAN)
OAXACA (OA-MX)
OHIO (OH)
OKLAHOMA (OK)
ONTARIO (ON-CAN)
OREGON (OR)
PENNSYLVANIA (PA)
PRINCE EDWARD ISLAND (PE-CAN)
PUEBLA (PU-MX)
PUERTO RICO (PR)
QUEBEC (QC-CAN)
QUERETARO (QE-MX)
QUINTANA ROO (QR-MX)
RHODE ISLAND (RI)
SAN LUIS POTOSI (SL-MX)
SASKATCHEWAN (SK-CAN)
SINALOA (SI-MX)
SONORA (SO-MX)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TABASCO (TB-MX)
TAMAULIPAS (TM-MX)
TENNESSEE (TN)
TEXAS (TX)
TLAXCALA (TL-MX)
UNITED STATES MINOR OUTLYING ISLANDS (UM)
UTAH (UT)
VERACRUZ (VE-MX)
VERMONT (VT)
VIRGIN ISLANDS (VI)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
YUCATAN (YU-MX)
YUKON TERRITORY (YT-CAN)
ZACATECAS (ZA-MX)
Inside City Limits
County
(Condado)
--Select One--
AUTAUGA
BALDWIN
BARBOUR
BIBB
BLOUNT
BULLOCK
BUTLER
CALHOUN
CHAMBERS
CHEROKEE
CHILTON
CHOCTAW
CLARKE
CLAY
CLEBURNE
COFFEE
COLBERT
CONECUH
COOSA
COVINGTON
CRENSHAW
CULLMAN
DALE
DALLAS
DEKALB
ELMORE
ESCAMBIA
ETOWAH
FAYETTE
FRANKLIN
GENEVA
GREENE
HALE
HENRY
HOUSTON
JACKSON
JEFFERSON
LAMAR
LAUDERDALE
LAWRENCE
LEE
LIMESTONE
LOWNDES
MACON
MADISON
MARENGO
MARION
MARSHALL
MOBILE
MONROE
MONTGOMERY
MORGAN
PERRY
PICKENS
PIKE
RANDOLPH
RUSSELL
SHELBY
ST CLAIR
SUMTER
TALLADEGA
TALLAPOOSA
TUSCALOOSA
WALKER
WASHINGTON
WILCOX
WINSTON
Date of Birth
(Fecha de Nacimiento)
Phone
(Teléfono)
Birth City
(Nacimiento Estado o Pais)
State or Foreign Country of Birth
(País de nacimiento)
AGUASCALIENTES (AG-MX)
ALABAMA (AL)
ALASKA (AK)
ALBERTA (AB-CAN)
AMERICAN SAMOA (AS)
ARIZONA (AZ)
ARKANSAS (AR)
ARMED FORCES AFRICA (AE-AFR)
ARMED FORCES AMERICAS (AA)
ARMED FORCES CANADA (AE-CAN)
ARMED FORCES EUROPE (AE-EUR)
ARMED FORCES MIDDLE EAST (AE-ME)
ARMED FORCES OTHERS (AE-OTHER)
ARMED FORCES PACIFIC (AP)
BAJA CALIFORNIA (BN-MX)
BAJA CALIFORNIA SUR (BS-MX)
BRITISH COLUMBIA (BC-CAN)
CALIFORNIA (CA)
CAMPECHE (CM-MX)
CHIAPAS (CP-MX)
CHIHUAHUA (CH-MX)
COAHUILA (CA-MX)
COLIMA (CL-MX)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DISTRICT OF COLUMBIA (DC)
DISTRITO FEDERAL (DF-MX)
DURANGO (DU-MX)
FLORIDA (FL)
GEORGIA (GA)
GUAM (GU)
GUANAJUATO (GT-MX)
GUERRERO (GR-MX)
HAWAII (HI)
HIDALGO (HG-MX)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
JALISCO (JA-MX)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MANITOBA (MB-CANADA)
MARYLAND (MD)
MASSACHUSETTS (MA)
MEXICO (MX-MX)
MICHIGAN (MI)
MICHOACAN (MC-MX)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
MORELOS (MR-MX)
NAYARIT (NA-MX)
NEBRASKA (NE)
NEVADA (NV)
NEW BRUNSWICK (NB-CAN)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NEWFOUNDLAND (NL-CAN)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
NORTHERN MARIANA ISLANDS (MP)
NORTHWEST TERRITORY (NT-CAN)
NOVA SCOTIA (NS-CAN)
NUEVO LEON (NL-MX)
NUNAVUT (NU-CAN)
OAXACA (OA-MX)
OHIO (OH)
OKLAHOMA (OK)
ONTARIO (ON-CAN)
OREGON (OR)
PENNSYLVANIA (PA)
PRINCE EDWARD ISLAND (PE-CAN)
PUEBLA (PU-MX)
PUERTO RICO (PR)
QUEBEC (QC-CAN)
QUERETARO (QE-MX)
QUINTANA ROO (QR-MX)
RHODE ISLAND (RI)
SAN LUIS POTOSI (SL-MX)
SASKATCHEWAN (SK-CAN)
SINALOA (SI-MX)
SONORA (SO-MX)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TABASCO (TB-MX)
TAMAULIPAS (TM-MX)
TENNESSEE (TN)
TEXAS (TX)
TLAXCALA (TL-MX)
UNITED STATES MINOR OUTLYING ISLANDS (UM)
UTAH (UT)
VERACRUZ (VE-MX)
VERMONT (VT)
VIRGIN ISLANDS (VI)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
YUCATAN (YU-MX)
YUKON TERRITORY (YT-CAN)
ZACATECAS (ZA-MX)
Parent or Legal Guardian Information
Father First Name
Father Middle Name
Father Last Name
Parent or Legal Guardian Information
Mother First Name
Mother Middle Name
Mother Maiden Last Name
Spouse 1 Ever Married
(Anteriorment se casó?)
No of Previous Marriages
(Número de este matrimonio)
If Previously Married, Last Marriage Ended
(Ultimo Martrimonio Termino Por)
--Select One--
ANNULMENT
DEATH
DIVORCE
OTHER
Spouse 2
Gender
(Género)
Race
(Raza)
--Select One--
FEMALE
MALE
--Select One--
ALASKAN
ASIAN
BLACK
HISPANIC
INDIAN
MIDDLE EASTERN
NATIVE AMERICAN
OTHER
PACIFIC ISLANDER
WHITE
First Name
(Nombre Primero)
Middle Name
(Segundo Nombre)
Last Name
(Apellido)
Suffix Name
(Sufijo)
Given/maiden name
(Nombre de soltera)
Education
--Select One--
College 1yr
College 2yrs
College 3yrs
College 4yrs
College+5yrs
Grd0
Grd1
Grd10
Grd11
Grd12
Grd2
Grd3
Grd4
Grd5
Grd6
Grd7
Grd8
Grd9
Street Address
(Direccion)
City
(Ciudad)
State
(Estado o Pais)
Zip Code
(Código Postal)
AGUASCALIENTES (AG-MX)
ALABAMA (AL)
ALASKA (AK)
ALBERTA (AB-CAN)
AMERICAN SAMOA (AS)
ARIZONA (AZ)
ARKANSAS (AR)
ARMED FORCES AFRICA (AE-AFR)
ARMED FORCES AMERICAS (AA)
ARMED FORCES CANADA (AE-CAN)
ARMED FORCES EUROPE (AE-EUR)
ARMED FORCES MIDDLE EAST (AE-ME)
ARMED FORCES OTHERS (AE-OTHER)
ARMED FORCES PACIFIC (AP)
BAJA CALIFORNIA (BN-MX)
BAJA CALIFORNIA SUR (BS-MX)
BRITISH COLUMBIA (BC-CAN)
CALIFORNIA (CA)
CAMPECHE (CM-MX)
CHIAPAS (CP-MX)
CHIHUAHUA (CH-MX)
COAHUILA (CA-MX)
COLIMA (CL-MX)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DISTRICT OF COLUMBIA (DC)
DISTRITO FEDERAL (DF-MX)
DURANGO (DU-MX)
FLORIDA (FL)
GEORGIA (GA)
GUAM (GU)
GUANAJUATO (GT-MX)
GUERRERO (GR-MX)
HAWAII (HI)
HIDALGO (HG-MX)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
JALISCO (JA-MX)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MANITOBA (MB-CANADA)
MARYLAND (MD)
MASSACHUSETTS (MA)
MEXICO (MX-MX)
MICHIGAN (MI)
MICHOACAN (MC-MX)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
MORELOS (MR-MX)
NAYARIT (NA-MX)
NEBRASKA (NE)
NEVADA (NV)
NEW BRUNSWICK (NB-CAN)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NEWFOUNDLAND (NL-CAN)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
NORTHERN MARIANA ISLANDS (MP)
NORTHWEST TERRITORY (NT-CAN)
NOVA SCOTIA (NS-CAN)
NUEVO LEON (NL-MX)
NUNAVUT (NU-CAN)
OAXACA (OA-MX)
OHIO (OH)
OKLAHOMA (OK)
ONTARIO (ON-CAN)
OREGON (OR)
PENNSYLVANIA (PA)
PRINCE EDWARD ISLAND (PE-CAN)
PUEBLA (PU-MX)
PUERTO RICO (PR)
QUEBEC (QC-CAN)
QUERETARO (QE-MX)
QUINTANA ROO (QR-MX)
RHODE ISLAND (RI)
SAN LUIS POTOSI (SL-MX)
SASKATCHEWAN (SK-CAN)
SINALOA (SI-MX)
SONORA (SO-MX)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TABASCO (TB-MX)
TAMAULIPAS (TM-MX)
TENNESSEE (TN)
TEXAS (TX)
TLAXCALA (TL-MX)
UNITED STATES MINOR OUTLYING ISLANDS (UM)
UTAH (UT)
VERACRUZ (VE-MX)
VERMONT (VT)
VIRGIN ISLANDS (VI)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
YUCATAN (YU-MX)
YUKON TERRITORY (YT-CAN)
ZACATECAS (ZA-MX)
Inside City Limits
County
(Condado)
--Select One--
AUTAUGA
BALDWIN
BARBOUR
BIBB
BLOUNT
BULLOCK
BUTLER
CALHOUN
CHAMBERS
CHEROKEE
CHILTON
CHOCTAW
CLARKE
CLAY
CLEBURNE
COFFEE
COLBERT
CONECUH
COOSA
COVINGTON
CRENSHAW
CULLMAN
DALE
DALLAS
DEKALB
ELMORE
ESCAMBIA
ETOWAH
FAYETTE
FRANKLIN
GENEVA
GREENE
HALE
HENRY
HOUSTON
JACKSON
JEFFERSON
LAMAR
LAUDERDALE
LAWRENCE
LEE
LIMESTONE
LOWNDES
MACON
MADISON
MARENGO
MARION
MARSHALL
MOBILE
MONROE
MONTGOMERY
MORGAN
PERRY
PICKENS
PIKE
RANDOLPH
RUSSELL
SHELBY
ST CLAIR
SUMTER
TALLADEGA
TALLAPOOSA
TUSCALOOSA
WALKER
WASHINGTON
WILCOX
WINSTON
Date of Birth
(Fecha de Nacimiento)
Phone
(Teléfono)
Birth City
(Nacimiento Estado o Pais)
State or Foreign Country of Birth
(País de nacimiento)
AGUASCALIENTES (AG-MX)
ALABAMA (AL)
ALASKA (AK)
ALBERTA (AB-CAN)
AMERICAN SAMOA (AS)
ARIZONA (AZ)
ARKANSAS (AR)
ARMED FORCES AFRICA (AE-AFR)
ARMED FORCES AMERICAS (AA)
ARMED FORCES CANADA (AE-CAN)
ARMED FORCES EUROPE (AE-EUR)
ARMED FORCES MIDDLE EAST (AE-ME)
ARMED FORCES OTHERS (AE-OTHER)
ARMED FORCES PACIFIC (AP)
BAJA CALIFORNIA (BN-MX)
BAJA CALIFORNIA SUR (BS-MX)
BRITISH COLUMBIA (BC-CAN)
CALIFORNIA (CA)
CAMPECHE (CM-MX)
CHIAPAS (CP-MX)
CHIHUAHUA (CH-MX)
COAHUILA (CA-MX)
COLIMA (CL-MX)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DISTRICT OF COLUMBIA (DC)
DISTRITO FEDERAL (DF-MX)
DURANGO (DU-MX)
FLORIDA (FL)
GEORGIA (GA)
GUAM (GU)
GUANAJUATO (GT-MX)
GUERRERO (GR-MX)
HAWAII (HI)
HIDALGO (HG-MX)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
JALISCO (JA-MX)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MANITOBA (MB-CANADA)
MARYLAND (MD)
MASSACHUSETTS (MA)
MEXICO (MX-MX)
MICHIGAN (MI)
MICHOACAN (MC-MX)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
MORELOS (MR-MX)
NAYARIT (NA-MX)
NEBRASKA (NE)
NEVADA (NV)
NEW BRUNSWICK (NB-CAN)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NEWFOUNDLAND (NL-CAN)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
NORTHERN MARIANA ISLANDS (MP)
NORTHWEST TERRITORY (NT-CAN)
NOVA SCOTIA (NS-CAN)
NUEVO LEON (NL-MX)
NUNAVUT (NU-CAN)
OAXACA (OA-MX)
OHIO (OH)
OKLAHOMA (OK)
ONTARIO (ON-CAN)
OREGON (OR)
PENNSYLVANIA (PA)
PRINCE EDWARD ISLAND (PE-CAN)
PUEBLA (PU-MX)
PUERTO RICO (PR)
QUEBEC (QC-CAN)
QUERETARO (QE-MX)
QUINTANA ROO (QR-MX)
RHODE ISLAND (RI)
SAN LUIS POTOSI (SL-MX)
SASKATCHEWAN (SK-CAN)
SINALOA (SI-MX)
SONORA (SO-MX)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TABASCO (TB-MX)
TAMAULIPAS (TM-MX)
TENNESSEE (TN)
TEXAS (TX)
TLAXCALA (TL-MX)
UNITED STATES MINOR OUTLYING ISLANDS (UM)
UTAH (UT)
VERACRUZ (VE-MX)
VERMONT (VT)
VIRGIN ISLANDS (VI)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
YUCATAN (YU-MX)
YUKON TERRITORY (YT-CAN)
ZACATECAS (ZA-MX)
Parent or Legal Guardian Information
Father First Name
Father Middle Name
Father Last Name
Parent or Legal Guardian Information
Mother First Name
Mother Middle Name
Mother Maiden Last Name
Spouse 2 Ever Married
(Anteriorment se casó?)
No of Previous Marriages
(Número de este matrimonio)
If Previously Married, Last Marriage Ended
(Ultimo Martrimonio Termino Por)
--Select One--
ANNULMENT
DEATH
DIVORCE
OTHER
2024 - Marriage Kiosk