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Groom's Information

First Name:    Last Name:

Street Address:    City:    State:   Zip:

Cell Phone:  Home Phone:  

Age:    Religion:  

Current Parish:   City:

Your EMail:   Very Important : Please double check your email address for accuracy.

 

Bride's Information

First Name:   Last Name:

Street Address:   City:   State:   Zip:

Cell Phone: Home Phone:  

Age:   Religion:

Current Parish:   City:

Your EMail:   Very Important : Please double check your email address for accuracy.

 

Additional Information

Wedding Date: (Please use the format MM-DD-YY)    

Parish to be Married In:   City:  

Name of Priest:

Referred By:

Engaged Encounter Weekend Preference:

First Choice    Second Choice 

Direct All Correspondence to: 

Contact Info After Your Wedding:

Street Address:   City:   State:   Zip:

Phone:  

EMail: Very Important : Please double check your email address for accuracy.

Your Parish After the Wedding:

Parish:   City:

 

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