Please Complete This Form in It’s Entirety


Thank you for considering Wedding Proxy by 406 Proxy, LLC of Lewistown, Montana. In order to speed up the process of your application, please look through the form to ensure you have all information readily available to you.  Among other details within the form, you will need to submit proof of identification that accompanies this form to the Clerk of Courts. No information is saved or stored on our servers.

If you have a question about the form please message the Team by using the chat box, contact page or call 406.717.5858.

Wedding License Questionnaire

All fields are mandatory and the form will not progress without an answer.

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Valentine Day Wedding Proxy Discount