..::OMAHA BRIDAL NETWORK::..

Register for Nearly Newlywed Game Show
Sponsored by KM3 News and the Omaha Bridal Network

Four lucky couples will be notified by December 30, 2005 that they will be playing in the Nearly Newlywed Game Show on Sunday, January 8 at the 2006 Bridal Showcase Event.

(Last year's winners received over $5000 worth of prizes.)

Nearly Newlywed Game Show Registration Form

Contact Information
Wedding Date: Please leave date empty if no date has been set.	Wedding City: Wedding State:
Bride Name: Bride Age:
*Address:
*City:	State: Zip:
*Home Phone (w/area code):	Work Phone (w/area code):
*E-Mail:	Cell Phone:

Groom's First Name: Groom's Age:
Groom's Address:
City:	State: Zip:

How long have you been dating? :