GBridge
photo
Groom's Information
Name:
Nickname (for nametag):
Street Address:
City:
State:
Zip:
Age:
First Marriage? Yes No
Phone:
Phone 2:
E-mail address:
Religion:
Bride's Information
Name:
Nickname (for nametag):
Street Address:
City:
State:
Zip:
Age:
First Marriage? Yes No
Phone:
Phone 2:
E-mail address:
Religion:
Registration Information
Send all Further Information to: Groom Bride
Wedding Date:
Parish/Church
City/State:
Priest Officiating:

We are interested in attending the weekend on:

First Choice:
Second Choice:
Special Needs or Additional Information:
Billing

If you decide to pay by Visa or Mastercard, please include the following information as it appears on your card:

Name:
Card #:
Expiration Date:
Amount:
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