Gilles Rousseau Studio Southbury, CT 06488 Phone: 203.267.5657

Wedding Availability Request Name: Email address: Wedding date: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 (please give Month /Day/Year) Please list the city & state where your wedding will be held House: Church: Reception: Comments or Questions: