MARRIAGE ENCOUNTER REGISTRATION FORM

(Contact your local ME office for weekend location, registration fee amount and registration reply address)

STEP I:
Print this form by clicking on your printer icon located on your browser's tool bar, usually located at the top of your screen.

STEP II:
Locate the appropriate contact name and number to determine the mailing address for your form, the registration fee to include and for weekend dates and locations in your area.  Click here for list of contacts in your area.

STEP III:
Complete the printed form and mail to the mailing address received from your local contact along with the registration fee and weekend date you wish to attend.
Last Name: _____________________________________________
Husband's 1st Name: _____________________________________________
Wife's 1st Name: _____________________________________________
Address: _____________________________________________
City: _____________________________________________
State: ____________________
Zip: ____________________
Daytime Phone Number: ( ________ ) __________________________________
Cell Phone Number: ( ________ ) __________________________________
Email Address: _____________________________________________
Wedding Date: (mm/dd/yy): _____________________________________________
Weekend Desired: _____________________________________________
Husband's Religious
Affiliation:		 ______________________/ Church _______________
Wife's Religious
Affiliation:		 ______________________/ Church _______________
Who told you about
Marriage Encounter?		 _____________________________________________
Other comments
or special needs:		 _____________________________________________

Please make checks payable to:   Marriage in God's Plan

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