Worldwide Marriage Encounter

Worldwide Marriage Encounter - Northern Indiana Registration

To register for a weekend in Fort Wayne or South Bend, please electronically submit this form. At the end of the process you will be sent to our secure payment processor for payment of the non-refundable registration fee.
POBox Worldwide Marriage Encounter
c/o Greg & Norma Germann
1304 Canterbury Drive
South Bend, IN 46628
(574)287-6432
Personal Information
Last Name Religious
Denomination		 Church
Name (Husband)
Name (Wife)
Street
City
State
Zip Code
Phone Cell Phone
Wedding Date
E-mail address    Verify E-mail address
Weekend Preferences
1st Choice
2nd Choice
Any Medical,
Physical,
or
Dietary
Restrictions