Please send
registration with payment to:
Aniela and
Mark Potter, 24A Old Coach Road, Johnsonville, Wellington 6037.
Phone (04)
477 1957. Make Cheques payable to Catholic Engaged Encounter.
We request
a deposit of $50 with booking form and a further $270 per couple as
full payment on the Friday night of the weekend. Note: We do not have
EFTPOS facilities at the venue. Full price including all meals, 2 nights
accomodation, and other resources is $320 per couple.
Required information can
be copied/printed from the plain text below
Her Name:___________________________
Address:_____________________________
_____________________
Post Code______
email:_______________________________
Phone:(__)_______________
Age ________
Religion &
Parish:______________________
His Name:___________________________
Address:_____________________________
____________________
Post Code______
email:_______________________________
Phone:(__)________________
Age _______
Religion &
Parish:______________________
Desired weekend: First choice date:____________________
2nd choice date:
___________________
Referred by
:____________________________ Wedding Date :________________
After Wedding Address:________________________________________________
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