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= Required Field
His Name
*
:
Her Name
*
:
Contact Name & Address
*
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Phone Number
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His Phone Number
Her Phone Number
E-Mail Address:
His Email Address
Her Email Address
Intended Wedding Date (Date/Month/Year)
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Weekend Desired
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Husband's Religion:
Catholic
Other
Wife's Religion:
Catholic
Other
Where did you hear about Engaged Encounter?:
Other comments or special needs:
Please send booking deposit (non refundable) of £50 (or Euro equivalent) to:
Engaged Encounter
c/o 19 Manor Road,
Magherafelt,
Co.Derry.
BT45 6QF
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