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The Worldwide Marriage Encounter Mission Statement:

Worldwide Marriage Encounter’s Mission of renewal in the church and change in the world is to assist couples and priests to live fully intimate and responsible relationships by providing them with a Catholic “experience” and ongoing community support for such a lifestyle.

Weekend Application Form

Weekend Selections
1st choice:	Feb 17-19, 2012 [ Saint Benedict, OR ] - WAITLISTED Feb 24-26, 2012 [ Bellevue, WA ] Mar 9-11, 2012 [ Spokane, WA ] Mar 9-11, 2012 [ Salt Lake City, Ut ] Apr 20-22, 2012 [ Powell Butte, OR ] Apr 20-22, 2012 [ Centralia, WA ] May 4-6, 2012 [ Anchorage, AK ] Jun 8-10, 2012 [ Seattle, WA ] Jun 15-17, 2012 [ Boise, ID ] Jul 27-29, 2012 [ Salt Lake City, Ut ] Aug 3-5, 2012 [ Centralia, WA ] Aug 17-19, 2012 [ Beaverton, OR ] Sep 28-30, 2012 [ Powell Butte, OR ] Oct 5-7, 2012 [ Seattle, WA ] Oct 10-12, 2012 [ Boise, ID ] Oct 19-21, 2012 [ Spokane, WA ] Nov 9-11, 2012 [ Saint Benedict, OR ] Nov 9-11, 2012 [ Anchorage, AK ] Nov 30-Dec 2, 2012 [ Centralia, WA ] Apr 12-14, 2013 [ Spokane, WA ] Oct 4-6, 2013 [ Spokane, WA ] Mar 14-16, 2014 [ Spokane, WA ] Oct 17-19, 2014 [ Spokane, WA ] Please select a Weekend for your 1st choice.
2nd choice:	Feb 17-19, 2012 [ Saint Benedict, OR ] - WAITLISTED Feb 24-26, 2012 [ Bellevue, WA ] Mar 9-11, 2012 [ Spokane, WA ] Mar 9-11, 2012 [ Salt Lake City, Ut ] Apr 20-22, 2012 [ Powell Butte, OR ] Apr 20-22, 2012 [ Centralia, WA ] May 4-6, 2012 [ Anchorage, AK ] Jun 8-10, 2012 [ Seattle, WA ] Jun 15-17, 2012 [ Boise, ID ] Jul 27-29, 2012 [ Salt Lake City, Ut ] Aug 3-5, 2012 [ Centralia, WA ] Aug 17-19, 2012 [ Beaverton, OR ] Sep 28-30, 2012 [ Powell Butte, OR ] Oct 5-7, 2012 [ Seattle, WA ] Oct 10-12, 2012 [ Boise, ID ] Oct 19-21, 2012 [ Spokane, WA ] Nov 9-11, 2012 [ Saint Benedict, OR ] Nov 9-11, 2012 [ Anchorage, AK ] Nov 30-Dec 2, 2012 [ Centralia, WA ] Apr 12-14, 2013 [ Spokane, WA ] Oct 4-6, 2013 [ Spokane, WA ] Mar 14-16, 2014 [ Spokane, WA ] Oct 17-19, 2014 [ Spokane, WA ] Please select a Weekend for your 2nd choice.
Personal Information Please note: We do not provide your information to any 3rd parties.
Husband's first name:	Required.
Wife's first name:	Required.
Last name:	Required.
Wife's last name:
Address line 1:	Required.
Address line 2:
City:	Required.
State:	Required. You must enter at least 2 characters!! No more then 2 characters!!
Zipcode:	Required. Invalid format.
Wedding Date:	Required. Invalid format.
Primary email:	Required. Invalid format.
Alternate email:	Invalid format.
Primary Phone:	Required. Invalid format.
Alternate Phone:	Invalid format.
Have you previously attended a WWME Weekend?	No Yes
Faith preference(s)
Husband's faith:
Husband's parish/church:
Wife's faith:
Wife's parish/church:
Misc. Information
How did you find us?	Advertising - Facebook Advertising - Printed Advertising - Radio Church bulletin Friends Info night/Dinner Other Previously Encountered Priest/Pastor Pulpit Inviting Talks Relative/Family Website/Internet Please tell us how you found us.
Referred by:
Phone:	If someone encouraged you to attend a Weekend, please let us know.
Please tell us:
Room preference:	Smoking Non-smoking Please make a selection. Please note: Smoking preference is for hotels only. All retreat centers are non-smoking.
Application fee
Application is:	For ourselves For someone else
Discount code:	If you have a discount code for the application fee, please enter it here.
We would like to pay the $50 application fee by:	Credit Card/Electronic Check with PayPal Personal Check/Money Order There is a $50 application fee in order to hold your room. Please indicate how you would like to pay. Please note: You do NOT have to have a PayPal account in order to pay by credit card or electronic check.
Security question
	Security question, please solve: YHN 2PR T 9 L IIY FA3 DXD X9G G W J HMI RH4 9DY
If you have difficulty submitting the form, please scroll up the page and fix any issues or omissions.