Your Name:
Church or organization you represent (if applicable):
City, State/Province, Country:
Your email address:
Your phone number:
How long have you been married?
What do you hope to get out of a Marriage in Christ seminar?
Have you ever participated in a marriage program? If so, which one(s)?
Have you ever been involved giving marriage formation in your church?
How many other couples in your area might be interested in Marriage in Christ?