National Marriage Encounter of North Texas
Encounter Weekend Registration Form

Wife's Preferred First & Last *
Husband's Preferred First & Last *
Street Address *
City *
State *
Zip *
Phone Number 1 *
Phone Number 2
E-Mail Address *
Religion/Church (all are welcome!)
Date of Marriage
Weekend Date
Where did you hear about us?
Comments/Questions
Method of Payment *
Image Verification
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