GBridge
photo
Groom's Information
Name:
Nickname:
(for nametag)
Age:
Phone:
Religion:
Bride's Information
Name:
Nickname:
(for nametag)
Age:
Phone:
Religion:
Contact Information
Street Address:
City:
State:
Zip:
E-mail address:
Parish Information
Priest:
Parish:
City:
Wedding Date:
Weekend Preference
1st Choice:
2nd Choice:
Special Needs:
Billing - (for $335 Payment)
Payment by: Check   or   Visa/MC
Visa/MC Card #:
Name on card:
Expiration Date:
Signature:


and start again. Or,

Please print the page and either mail or fax it, together with your payment, to the information below:

Catholic Engaged Encounter
PO Box 1491
Clovis, CA 93613-1491

Fax 559.348.9101