Houston South Application Form

Please fill out this form if you are interested in attending a Worldwide Marriage Encounter at the Christian Renewal Center in Dickinson.

Click here if you prefer attending a Worldwide Marriage Encounter at Crowne Plaza Hotel, 425 North Sam Houston Parkway East.

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
PO Box 3183
Pearland, TX  77588

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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