WORLDWIDE
MARRIAGE ENCOUNTER
APPLICATION FORM
(Print this form by clicking on
the sidebar menu item called APPLICATION Form for
printing)
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Last Name: |
_____________________________________________ |
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First Name: |
_____________________________________________ |
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Religious Order: |
_____________________________________________ |
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Diocese: |
_____________________________________________ |
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Address: |
_____________________________________________ |
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City: |
_____________________________________________ |
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Province: |
____________________ |
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Postal Code: Email Address: |
_____________________________________________ _____________________________________________ |
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Daytime Phone Number: |
( ________ ) __________________________________ |
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Ordination
Date: (mm/dd/yy): |
_____________________________________________ |
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Weekend Desired: |
_____________________________________________ |
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Who told you about WWME? |
_____________________________________________ |
Other comments
or special needs, i.e. diet, disability, etc: |
_____________________________________________
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Application fee $50.00
(CDN) - non
refundable -
Please make checks payable to:
Worldwide Marriage Encounter |