Worldwide Marriage Encounter - Delaware and Eastern Shore of Maryland

Preliminary Registration Form

Husband's Full Name:

Husband's Nickname:

Wife's Full Name:

Wife's Nickname:

Address 1

Address 2

City

State

Zip Code

E-mail address

Phone Number

Work Phone Number

Wedding Date:

Husband's Religious Affiliation and Church

Wife's Religious Affiliation and Church

 

Select your preference

Rehoboth Beach, DE

___ October 17 - 19, 2008

___ February 13 - 15th, 2009

Select an alternate preference

Rehoboth Beach, DE

___ October 17 - 19, 2008

___ February 13 - 15th, 2009

Do you have any special needs (diet, handicap, etc) so that we may accommodate you accordingly?

A $40 non-refundable deposit is required to confirm your registration.  Send your deposit (a check payable to "Worldwide Marriage Encounter") to :

Worldwide Marriage Encounter

203 Way Road

Cape May Court House, NJ  08210

If you have any further questions or you would like to speak to our reservation couple personally please call

(800) 688-9963