TO COMPLETE REGISTRATION: Fill out this form and submit $150 deposit or full registration fee to complete the online registration. (Full registration fee is $225 per couple. The September 15-16, 2012 weekend is $170.) Make check or money order payable to Catholic Charities.

MAIL CHECK OR MONEY ORDER TO:
Catholic Charities
Attn: Engaged Encounter
123 NW 4th Street, Suite 603
Evansville, IN 47708

(If you prefer to mail your registration information fill out the form below and print this page)

BRIDE'S INFORMATION  
Name (as it will appear on certificate, not all caps please)
(first) (last)
Street Address:
City, State, Zip
Nickname:
Age:
Home Phone:
Work Phone:
E-mail:
Religion:
Parish
Married Before? Yes No


GROOM'S INFORMATION  
Name (as it will appear on certificate, not all caps please)
(first) (last)
Street Address:
City,State.Zip
Nickname:
Age:
Home Phone:
Work Phone:
E-mail:
Religion:
Parish:
Married Before? Yes No
WEDDING INFORMATION EE WEEKEND CHOICES
Wedding Date:
Parish/Church:
City/State:
Priest Officiating:
First Choice
Second Choice

Special Needs or Any Additional Information that You Feel may be Helpful:
SEND ALL FURTHER CORRESPONDENCE TO: Groom        Bride

PLEASE NOTE: It is Highly Recommended that the couple experience engaged encounter at least 3-5 months in advance of their wedding. There is a limited amount of space available on each weekend. It is our policy that couples for who we have the full registration fee paid will be guaranteed a reservation on a first-come, first-served basis. Once the weekend is filled, others who are interested will be placed on a waiting list in the order that their registrations were received.

IMPORTANT: Please print this page and mail to the address below with your payment.  Your registration is not complete until we receive your check or money order. In order to be fair to the other couples we cannot hold your space until we receive your payment. Once the payment has been received then a confirmation of your registration as well as the date of your weekend will be sent to you.

Please include a copy of this page with your registration check.
(Use your Print option in your browser now.)

MAIL CHECK OR MONEY ORDER IN THE AMOUNT OF
$150 FOR DEPOSIT OR FULL FEE OF $225 TO:
Catholic Charities
Attn: Engaged Encounter
123 NW 4th Street, Suite 603
Evansville, IN 47708

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