WEEKEND REGISTRATION FORM
MARRIAGE ENCOUNTER RESERVATION
To register for a Worldwide Marriage Encounter Weekend, print and complete the
form
below and mail to:
Worldwide Marriage Encounter
Jim and Mary Carr
Phone:263-2004
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NAME: __________________________ , |
____________________ & |
____________________ |
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Last Name |
His First Name |
Her First Name |
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ADDRESS: _________________________________________________________________________ |
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CITY: _____________________________ |
STATE: ____________ |
ZIP: _______________ |
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PHONE: ( ) ____________________ |
EMAIL ADDRESS: __________________________ |
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WEDDING DATE: _________________ |
CHURCH MARRIED IN: |
____________________ |
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WEEKEND DATE DESIRED: |
1st Choice: |
______________________ |
2nd Choice: ___________ |
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RELIGIOUS AFFILIATION: |
His: ________________________ Hers: |
______________________ |
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CHURCH ATTENDING: |
His: _______________________ Hers: |
______________________ |
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HOW DID YOU HEAR ABOUT US? Deacon/Pastor |
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Please enclose a $50.00 non-refundable registration fee
payable to Worldwide Marriage Encounter. |
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