Marriage Preparation

Where:
This is an online event

Contact:
Elena Lanzieri
Diocese of Allentown

610-866-0581 elanzieri@allentowndiocese.org

Pre-Marital Assessment

Bride's Information
Date of Wedding*
MM slash DD slash YYYY
Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Address
Street Address City State ZIP Code
What is the name of your parish and which city/state is it located?
Groom's Information
Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Address
Street Address City State ZIP Code
What is the name of your parish and which city/state is it located?
Priest Information
Name of Priest*
Parish of Priest*
Fee
Payment Method
Type Fee

Event Fee $15.00
Payment Method
- Pay with PayPal or Credit Card
Payment Summary
Name Type Quantity Fee Total

Foccus Registration Event Fee 1 $15.00 $15.00

TOTAL $15.00
Emails are serviced by Constant Contact.
Foccus Registration*
Price:

Bride's Information

Name	Type	Quantity	Fee	Total
Foccus Registration	Event Fee	1	$15.00	$15.00
			TOTAL	$15.00