Connecticut WorldWide Marriage Encounter

GUESTBOOK

Husband's first and last name:
Wife's first and last name:
Street Address:
City:
State:
Zip Code:
Work Phone Number (area code):
Home Phone Number (area code):
Your Email Address:
Your Wedding Date:
Which weekend would you like to attend?
Please select an alternate date:
Number of children:
Husband's Religion and Parish/Church:
Wife's Religion and Parish/Church:

How did you hear about the weekend?

A $50 non-refundable deposit is required to confirm your registration.
Send your deposit (a check payable to "Worldwide Marriage Encounter") to:

Joe & Jane Staszowski
51 Garnet Lane
South Windsor 06074

800-795-LOVE (800-795-5683)
registration@wwmeCT.org

If you prefer, you can print out this page, fill it out and mail it with your deposit to the same address.

HDIMMF