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Marriage Encounter Registration

Thank you for your interest in Marriage Encounter! Please register below and submit your registration fee. You may pay by entering your debit/credit card information or by selecting Pay Offline. If you select the latter option, please send a check payable to First Alliance Church to 908 47th Street South, Great Falls, Montana 59405.

Registration Information

Your Name (required)

Your Spouse's Name (required)

Your Address (required)

City (required)

State (required)

ZIP Code (required)

Primary Phone Number (required)

Secondary Phone Number

Email Address (required)

Preferred Method of Communication

Wedding Anniversary (required)

Church you attend (if applicable)

Special Dietary Restrictions (including food allergies)

Special Health Restrictions

Would you prefer a non-smoking room?

What do you hope to get out of the Alliance Marriage Encounter Weekend? (required)

How did you hear about the Alliance Marriage Encounter Weekend?

Billing Information

- or -

Name As It Appears On Card (required)

Credit Card Number (required)

Expiration Date (mm/yy, required)

CVV (required)

ZIP Code (required)

Amount Due: $50 (USD)