Ceremony Information  
You may print these forms and fill them out then send by mail or by fax, a brochure link is located at bottom of the page, or you may submit
it now. We will immediately acknowledge your reservation or we will contact you if the date and time you have selected are already booked
and seek your instructions as to how to proceed. You may check the open dates page if you wish we try to update it accordingly.
Fill out as much as you can and please included you name and telephone number so that I may contact you.
We do not sell or give away our clients information it is used for our contact purpose only!
Due to security reasons we feel it's best to no longer accept credit card info from the Internet however
You may print and fax or mail this Credit Card  form to:
Renee Melby PO Box 177 Salter Path, NC 2857
Please be sure to sign the authorization, your wedding date will not be processed without your signature. We will also need a
copy of your Driver License and a copy of the credit card showing the name on the front of your card.
You may also send a check with proper ID...your request will not be processed until your check has cleared.
You may call us Toll Free:
800-495-3892 Office: 252-247-3826 Fax: 252-726-4451
Credit Card Authorization
Billing Name and Address on Card including Zip Code:
Master Card Number:
Visa Card Number:
Three digit
security code:
Expiration Date:
I have read the terms and conditions of in the officiating agreement  listed below, I do understand that there is a $100.00
non-refundable processing fee.  By submitting the credit card authorization form, I am agreeing for Visions Concierge to charge
my card in the amount written below.
(This box must be checked to complete this request)
Amount of Charge: _________________
Credit Card Holders Signature: _____________________________________________________________
For all other inquires or customizable weddings, please call the numbers listed below.
Please be sure to read and sign the Terms and Agreements listed below. You must check that
you agree to the terms and conditions below for your wedding to be confirmed.
Terms & Conditions
Officiating Fees

A non-refundable earnest fee of $100 is required at the time you reserve our services. This fee will be applied towards your total due.
The balance is due 60 days before the wedding date.*
Reservations made with less than 60 days remaining until the wedding date
must be paid in full by Cash, certified funds, Visa or Master Card.
No personal checks please!


Refunds: Cancellations that are received more than 60 days before the reserved date, shall receive their money back, less a $100.00 earnest fee for
processing your information. Cancellations received with less than 60 days until the reserved date shall not be refunded any monies. We can however
change your date if necessary as long as we have no other weddings booked that date.
Please call us to confirm your new date.
Refusal: We reserve to right to refuse any request for a reservation and we further reserve the right to refuse to perform any service that we are not
comfortable with, even though a reservation was accepted. If a wedding service that has been reserved is not performed, then a refund shall be due in the
same form received.

Travel & Expenses

Any travel of outside of Carteret County N.C. Shall be charged an additional 40 cents per mile.
All air travel, cabs or rental cars, meals, hotels, and other such necessities reserved, shall be at the expense of the client and must be booked well in
advance of the wedding event. We must receive written confirmation of these booked necessities 60 days prior to wedding date.

Nautical Nuptials   by Visions
Request Date

Phone toll free:
Brides Full Name:
Grooms Full Name:
Mailing Address
State & Zip Code
Email :
Contact Numbers:
Date Desired:
Please note that your date may not be available, be sure to check the open
dates page or call in advance to check your wedding date
If you have your
location set please
tell me the address
or place:
Hold down the "ctrl" key to check all that you are interested in.
Type of
Service Desired:
Type of
Check this box to Request Brochure only: Please fill out the information above. I will
need your mailing address to send you a brochure.
Services Desired
(Please check all that apply)
Tell us the package you are interested in:
Catering Menu
Wedding Package Brochure
Wedding Minister Brochure
Nautical Nuptials Agreement
Contact Me Sheet
Print a Brochure or