 WWME
APPLICATION FORM -
Married couple
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tool bar, usually located at the top of your screen. |
| Last Name
(husband): |
_____________________________________________ |
| Husband's 1st Name: |
_____________________________________________ |
| Wife's 1st Name: |
_____________________________________________ |
| Last Name
(wife): |
_____________________________________________ |
| Address: |
_____________________________________________ |
| City/
Province: |
_____________________________________________ |
|
Postal Code: |
____________________ |
|
Email address: Home Phone Number: |
_____________________________________________
( ________ ) __________________________________ |
| Wedding Date: (mm/dd/yy): |
_____________________________________________ |
|
Wedding: Name of Church |
_______________________/City/Town_______________ |
| Weekend Desired: |
_____________________________________________ |
Husband's Religious
Affiliation: |
______________________/ Church _______________ |
Wife's Religious
Affiliation: |
______________________/ Church _______________ |
|
Who told you about
Worldwide Marriage Encounter? |
_____________________________________________ |
Other comments
or special needs, i.e. diet, disability, etc: |
_____________________________________________
|
|
Application fee $50.00 (CDN) - non refundable -
Please make cheque payable to:
Worldwide Marriage Encounter |