Please provide the following  information:

 Illinois
Engaged Encounter
United Methodist
Reservation Form

This request for a reservation for an Engaged Encounter Weekend
must be made 21 days before the date of the weekend requested.

His Name

His Street Address

His City , State, Zip

His Phone

His E-Mail

His Religion and Church
example: Methodist, Main Street United Methodist

Her Name

Her Street Address

Her City , State, Zip

Her Phone

Her E-Mail

Her Religion and Church
example: Methodist, Main Street United Methodist

Anticipated Wedding Date

Emergency Contact Information

Name (relationship)
Address
Phone

Minister

Name

Church

Address

City, State, Zip

Phone

Referred by

Name

Street Address

City, State, Zip

Phone

Weekend Dates and Locations Preferred

1st Choice

2nd Choice

Him:  
Smoking
Nonsmoking  
Don't Care

Her: 
Smoking
Nonsmoking
Don't Care


On a weekend, unmarried couples may not share the same room.
Participants usually share a room with another participant of the same sex.

Special accommodation needs. (Diet, Wheelchair, Medical Problems etc.)

Please send me a brochure for Engaged Encounter.
Please send me a brochure for Marriage Encounter.
For further information about Engaged Encounter contact:

EE Information, Chuck & Sue Cawkins

Reservation Couple, Terry & Marilyn Nolan, 1-815-845-2264

Publicity Couple, Bob & Pat Davis 

I am ready to send my request. I want to start the form all over.

A nonrefundable reservation fee of $35 payable to "Marriage Encounter United Methodist" must be sent to Terry & Marilyn Nolan, 315 Mason, P.O. Box 172, Scales Mound, IL 61075 21 days prior to the weekend. Weekend spaces will be filled in the order of the date of receipt of the reservation fee. The balance of $165 per couple is due and payable 14 days prior to the weekend. See the information on the "Questions And Answers About An Engaged Encounter Weekend" page for more details.

Engaged Encounter United Methodist
is an affiliate of the
General Board of Discipleship of the United Methodist Church.

Links
Questions And Answers About An Engaged Encounter Weekend
Comments From Recent Engaged Encounter Participants
Engaged Encounter Weekend Dates

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