GIFT CERTIFICATE . . .
If you are interested in obtaining a gift certificate to give a couple to attend a Marriage Encounter weekend, please complete this request form, enclose your check and send it to the address below:MADISON MARRIAGE ENCOUNTER
GIFT CERTIFICATE REQUEST
A request for a Gift Certificate in the amount of
$ (enclosed) is being made for the following couple.
Name: _________________________________
Address: _______________________________
City/State/Zip: ___________________________
Phone: (______)__________________________
The request is being made by:
Requester(s):
Address: ________________________________
City/State/Zip: ___________________________
Phone: (______)__________________________
Handling of the certificate(s)
- Please check one: ____Send certificate to couple receiving the gift certificate.Madison Marriage Encounter
P.O. Box 44983
Madison, WI 53744-4983
(608-821-3175)