ME Logo

Worldwide Marriage Encounter Registration Form
Cincinnati/Dayton/Northern & Central Kentucky Area

of Worldwide Marriage Encounter.

Welcome to our Online Registration Form. Fill in all fields using your
Tab key to move from field to field. When you click submit we'll provide
you with a printable form and more information about the weekend.

Remember, this is a preliminary registration. Your registration will
be confirmed by U.S. Mail when we have received your registration fee.

If you have questions feel free to call Keith and Lori Maurmeier on our
Toll Free Number: 1-800-547-1251, Code 00. When you leave a message
we will do our best to get back to you promply.

*Last Name:

*Husband's first name
(for nametag):

*Wife's first name
(for nametag):

*Address:

*City:    *State:    *Zip:

*Phone:

*Wedding Date:


*His Religious Affiliation: *Her Religious Affiliation: *Parish:
   

*Which weekend are you interested in? (Please click on the weekend dates)


 

Any medical, physical, dietary restrictions or other information:


E-Mail address:

How did you find out about the Weekend?

PRIVACY INFORMATION: Please be aware that your information
will be sent as an email to our reservations team. Do not include
any credit card numbers with your registration.

REGISTRATION INFORMATION: After pressing the submit key
you will be able to verify your information. At that time you can
print out your information to mail in a check or call our Registration
Team with your Visa or Mastercard.

REMEMBER: You are not fully registered until we have received
your $50.00 Registration Fee!


* = Required Entry