Houston North Application Form

Please fill out this form if you are interested in attending a Worldwide Marriage Encounter at the Crowne Plaza Hotel, 425 North Sam Houston Parkway East.

Click here if you prefer attending a Worldwide Marriage Encounter at the Christian Renewal Center in Dickinson.

Husband's first and last name:
Wife's first and last name:
Street Address:
City:
State:
Zip Code:
Work Phone Number (area code):
Home Phone Number (area code):
Your Email Address:
Your Wedding Date:
Which weekend would you like to attend?
Number of children:
Husband's Religion and Parish/Church:
Wife's Religion and Parish/Church:

How did you hear about the weekend?

A $50 non-refundable deposit is required to confirm your application.

The deposit must be received within 2 weeks of application or your application will expire.
 
Please send a check payable to "Worldwide Marriage Encounter" to:

Worldwide Marriage Encounter
Zeke & Ashley Metzler
83 Autumn Branch Drive
The Woodlands, TX 77382

If you prefer, you can print this page, fill it out and mail it with your deposit to the same address.

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