WorldWide Marriage Encounter Archdiocese of New York

Worldwide Marriage Encounter-Archdiocese of NY Registration Form

____ I'm ready to go.

____ Please sign me up. My gift registration is enclosed.

____ I would like a more information - please call me at ______________________.

Last Name____________________________Weekend Date Preferred___________________

First Name_______________________

Address________________________________________________________

City_______________________ State_________________ Zip__________County_________________

Parish/Church__________________________________________

Ordination Date___________________

Phone Number_________________________________EMAIL Address________________________

How did you hear about the weekend?_________________________________

Will need someone to cover Masses and/or other ceremonies for you? Yes□No□

Please mail registration form to:

Zbynek and Lucia Gold

27 David Rd

Somers, NY 10589

zbynekg@yahoo.com

or call 877-NYS-WWME (697-9963)

or visit the worldwide website at www.wwme.org

Archdiocese of New York