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Marriage Encounter of the Springfield Diocese in Illinois
On-Line Registration Form
First Names (His & Hers):
Last Name :
Address:
City / State / Zip:
Phone:
Wedding Date:
Weekend Date Desired:
His Religious Affiliate (Church Name):
Her Religious Affiliate (Church Name):
Email Address:
Smoking
How did you hear about Marriage Encounter?
Non-smoking
    Please allow next confirmation page to download completely before moving on.
Please note:  If you do not receive verification of your registration within 72 hrs., please call our registation couple at our toll-free number, 1-888-889-9963.  You will be contacted for the 
$50 Reservation Fee, which will confirm your spot on the weekend of your choice.
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