Worldwide Marriage Encounter of South Carolina

South Carolina Marriage Encounter Weekend Registration Form

Please print out this form and mail it to the address below. A $50.00, nonrefundable registration fee is required. You may also send an e-mail to scwwme@gmail.com requesting a registration, but the registration fee must be mailed to the address below to complete your registration.

Please make your check out to "Worldwide Marriage Encounter".

Mail to:

Steve & Nydia Burdick
9 Nob Hill, Columbia, SC 29210
(803) 798-8296
email: scwwme@gmail.com

Please check the Weekend you would like to attend:
O October 17-19, 2008 Phoenix Inn, Greenville, SC
O February 6-8, 2009 Hilton Head, SC

Your information:

First name (his)

  Last name  
Faith (his)

  Church/parish  
First name (hers)

  Last name  
Faith (hers)

  Church/parish  
Phone number

  Alt. phone number  
Address

 
City, state zip

 
Wedding date

  E-mail address  
Special needs
(diet, mobility, etc.)		  
Referred by

 
How did you hear
about Marriage
Encounter?		  
If you have made
a Weekend before,
please give the date