Weekend First Choice

Weekend Second Choice

Groom's Info: First Marriage: Age: Religion:

Name: First: Middle: Last: Parish:

Address: Street: City:

State/Province: Country: Zip Code:

Phone: Phone(2): E-Mail:

Bride's Info: First Marriage: Age: Religion:

Name: First: Middle: Last: Parish:

Address: Street: City:

State/Province: Country: Zip Code:

Phone: Phone(2): E-Mail:

Wedding Date:

Month: Day: Year:

Parish: Parish City/State:

Priest Officiating: Referred To EE By:

Additional Information that May be Helpful: (food allergies, etc...)

All Further correspondence send to Bride?

PRINT AND MAIL FORM W/PAYMENT (CHECK or MONEY ORDER) OF $265 (2008 weekends) or $290 (2009 weekends) TO:
Catholic Engaged Encounter
% Lisa Wellman
708 North L Street #5
Tacoma, WA 98403