Password *:

Please choose a 7 digit password.  You will use this in the future to access and update your personal details and access information available only to Members.

Surname *:

First Name *: 

Preferred Name : 
(only if applicable)

Gender *:

Male    or      Female 

Justice of the Peace *:

Yes      or      No 

Registered Marriage Celebrant *:

Yes      or      No 

Registered Civil Union Celebrant *:

Yes      or      No 

Religious Celebrant *:

Yes      or      No 

Address Line 1

Address Line 2

City / Town *:

Area Code *:

Postal
Address Line 1: 

Postal Address Line 2

Postal City / Town :

Postal Area Code :

Website Address:

Will only be included with your listing if you have provided a reciprocal link back to www.celebranz.org.nz

Please enquire if you need
more  information

Email Address *:

Phone (Day) : 

Phone (Evening): 

Mobile : 

Fax : 

What languages do you speak fluently?

Ceremonies Performed

Please check as many as you perform

Marriage

Funeral

Name Giving

Civil Union

Renewal of Vows

Same Sex

Commitment

Interment / Scattering of Ashes

Memorial / Unveiling

Anniversaries / Birthdays

Compeering

Blessings

Croning

Divorce

Pets / Animals

You may enter up to three other ceremonies that you perform.  Please enter only one in each box.

Other

Other

Other

Listings in Other Areas

You may list in
one other
region for an
extra charge
of $30

Northland

Waikato

Auckland

Bay of Plenty, Taupo, Rotorua, Tauranga

Taranaki, Wanganui

Hawkes Bay

Wairarapa

Wellington, Manawatu

Nelson, Tasman, Marlborough

West Coast

Canterbury

Otago, Southland