Formal Name (for Certificates): ___________________________________
Casual First Name (for Name Tags): _________________ Age: ____
Address: ________________________________________
City: ______________________ State: ______ Zip: ___________
Home Phone #: (_____)_____________ Work Phone #: (_____)_____________
Parent's Phone #: (_____)_____________
Parish or Church: ________________________ Religion: ________________________
Smoker (__) Non-Smoker (__)
Bride's Information
Formal Name (for Certificates): ___________________________________
Casual First Name (for Name Tags): _________________ Age: ____
Address: ________________________________________
City: ______________________ State: ______ Zip: ___________
Home Phone #: (_____)_____________ Work Phone #: (_____)_____________
Parent's Phone #: (_____)_____________
Parish or Church: ________________________ Religion: ________________________
Smoker (__) Non-Smoker (__)
Couple Information
Weekend Choices- 1st: ________________ 2nd: _______________
Desired Wedding Date: ______________
Referred to CEE by: _________________________
Church To Be Married In: __________________________________
City and State: ___________________________________________
Officiating Priest: _______________________________________
Special Needs (diet, physical handicap, etc.): ______________________________________
_________________________________________________________________________
Please PRINT and fill out completely.
Make check or money order for $160 payable to: "Catholic Engaged Encounter".
Payments are refundable up to 2 weeks prior to the weekend.
Mail completed form and check to: CEE, 301 West Essex Lane, Fort Wayne, IN 46825.
NO REGISTRATIONS WILL BE EXCEPTED WITH OUT PAYMENT!!!
If you need additional information, you can call the reservation couple:
Dick and Pinkie Louden