Marriage Encounter Registration

Thank you for your interest in the Alliance Marriage Encounter. Please fill out the form below and hit send. After you have sent the form, please submit your registration fee by sending a check filled out to First Alliance Church (908 47th St S, Great Falls, MT 59405) for $25.00 per couple.

Your Name (required)

Your Spouse's Name (required)

Your Address (required)

City (required)

State (required)

Zip (required)

Primary Phone Number (required)

Secondary Phone Number

Email (required)

Prefered Method of Communication
 Home Work Cell Phone Email

Wedding Anniversary (required)

Church you attend (if applicable)

Special Diet Restrictions (including food allergies)

Special Health Restrictions

Would you prefer a non smoking room?
 Yes No

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

How did you hear about the Alliance Marriage Encounter Weekend?

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