Marriage Encounter Application – GodLovesMarriage.org

2020 Marriage Encounter Location/Date Desired*

This field is required in order to send your Application to the Registration team for your desired location/date.

Applying As*

Husband's Full Name*

Husband's Preferred Name on Name Tag*

Wife's Full Name*

Wife's Preferred Name on Name Tag*

Wedding Date*

Home Address – CANADA*

Street Address Address Line 2 City Province Postal Code

Preferred Phone Number Contact*

Preferred Email Contact*

Husband's Church Affiliation, If Any (If None, Type None)*

Wife's Church Affiliation, If Any (If None, Type None)*

Room Smoking Preference*

*Please note that Arizona, Minnesota, and Washington State are all non-smoking per state statute.

Non-Smoking
Smoking

Special Needs – Dietary? Physical?

How Did You Hear About Marriage Encounter?*

Please check all that apply.

Friend or Colleague
Web Search
Social media
Church Bulletin or Announcement
Church Newsletter
Synod Conference
Best Practices in Ministry Conference
Pastor or Church Staff Member
Other

Discount Code

If you have a Discount Code, enter it here and be sure to click "Apply".

Total

Amount shown reflects Application Fee + Lodging/Food, minus any Discount Code applied.

$0.00

Select Payment Option*

IMPORTANT: When paying by PayPal or Credit/Debit Card, you will know the process is complete when you receive confirmation emails from both PayPal and from Marriage Encounter. If you don't receive these confirmation emails, your payment has "timed out" in the payment queue. This can occur due to a slow internet provider speed. If this occurs, please resubmit your application for payment.

PayPal or Credit/Debit Card
Personal Check (Must be mailed within one (1) week of accepted application notification in order to process)
Prepaid Gift Certificate

Cardholder's Last Name + Last 4 Digits of Credit/Debit Card

Please Provide Gift Giver's Last Name

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Marriage Encounter Application – CANADA