WORLDWIDE MARRIAGE ENCOUNTER

REGISTRATION 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 full name:
(Last, First)
Wife's full name:
(Last, First)
Street Address:
City:
State:
Zip Code:
Daytime Phone Number:
Evening Phone Number:
Email Address:
Wedding Date:
Weekend you'd like to attend:
Husband's Religious
Affiliation & Church/Parish:
Wife's Religious
Affiliation & Church/Parish:
How did you hear about the
Marriage Encounter weekend?
A $50 non-refundable deposit is required to confirm your registration.

The deposit must be received within 2 weeks of registration or your registration 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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