MARRIAGE ENCOUNTER RESERVATION FORM 
Print and mail with your $50.00 NON-REFUNDABLE REGISTRATION FEE.
Payable to: Marriage Encounter
to: Greg and Jessica Haas, 11147 W. Highmont Dr., Boise, Idaho, 83709.

Names: (his)____________________________ (last)___________________

Names: (hers) ___________________________ (last)___________________

Address:_____________________________________________

City: _________________________State: ____________zip:_______

Phone: ___________________Wedding date:________________

Weekend desired:_______________________________

Alternate Date:____________________________________

Religious Affiliation: (his)__________________/(church)________________

Religious Affiliation: (hers)_________________/(church)________________

(  )$50 Check Enclosed          Email address: _____________________________________

Who told you about the weekend?__________________________

Comments/Questions:____________________________________________________

__________________________________________________________________________