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Online Weekend Registration Form
Last Name:
*
Wife's First Name:
*
Husband's First Name:
*
Street Address:
*
State:
*
WI
MI
MN
IL
IA
City:
*
Zip Code:
*
Phone Number:
*
E-mail:
*
Weekend Selected:
*
November, 2-4, 2012
February 15-17, 2013
March 16-17, 2013
April 12-14, 2013
May 4-5, 2013
Your Wedding Date:
*
Number of Children:
Any Special Accomodations Needed:
How did you hear about Marriage Encounter:
Have you or your spouse served in the Military:
NO
YES
* required
Online Registration
Home
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Weekends
Online Registration
National ME
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Contact Information
For more information on the Green Bay Marriage Encounter contact our Registration Couple
Dennis & Sue Amtmann
943 Harwood Ave. Phone: (920) 544-5166
Green Bay, WI 54313 Email:
damtmann@aol.com
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