Please fill out the form below to apply for a weekend:
Marriage
Encounter Weekend Application Form
First Name
(His):
(Hers):
Last Name:
Wedding
Date (mm/dd/yy):
Address:
City:
State:
Zip:
Home Phone:
Email:
Who told
you about the Weekend?
Date of
Weekend you want to attend:
(Applications 2
weeks in advance needed to insure hotel reservation)
Include any
additional questions, comments, dietary requirements (i.e. diabetic or
vegetarian), need for accessible room, or other special needs:
Religious
Affiliation (His):
Church
(His):
Religious
Affiliation (Hers):
Church
(Hers):
I
am mailing my $50 check to:
WWME Application
c/o Paul & Marilou Clouse
Rt. 1 Box 616
Sugar Grove, OH 43155
Please
call me for my credit card information
When you
click "Send", your information will be sent via e-mail to the
Columbus Ohio Area Application Coordinators, Paul & Marilou Clouse. You will
receive further instructions in the mail. If you wish, print this form and
send it along with your check.