May 20, 2017 - Credit Card Authorization Form â Catholic Couples Marriage Group (CCM Group). I,. authorize CCM Group t
ST. MARK MARRIAGE RETREAT RETREAT APPLICATION
Married Couples Retreat Saturday, May 20, 2017
(One Day Married Couples Retreat) We invite you to this spiritually enriching experience for Catholic married couples. Couples come together to renew and strengthen the spiritual bond that God has blessed through the Sacrament of marriage. Please arrive at the Parish Center no later than 8:30am on Saturday morning for registration and breakfast. The retreat will end at 9:00pm. Please come in comfortable clothing and bring a jacket should it get cool. As part of the Retreat, we will participate in the celebration of the 5:00 PM Mass at St. Mark with a renewal of the Wedding Vows. After Mass, a special couple’s dinner will be served followed by the conclusion of the retreat.
For more information Contact: Liz & Adolfo Lantigua (954)252-0718 or (954)649-6088 Saint Mark Parish Office (954) 434-3777 Deadline for Registration is May 15, 2017
Space is Limited to 25 Couples
HUSBAND INFORMATION: NAME: DATE OF BIRTH: WORK PHONE: E-MAIL:
OCCUPATION: CELLULAR:
WHICH SACRAMENTS HAVE YOU RECEIVED FROM THE CATHOLIC CHURCH? (PLEASE CIRCLE) BAPTISM
COMMUNION
CONFIRMATION
MATRIMONY
NONE
WIFE INFORMATION: NAME: DATE OF BIRTH: WORK PHONE: E-MAIL:
OCCUPATION: CELLULAR:
WHICH SACRAMENTS HAVE YOU RECEIVED FROM THE CATHOLIC CHURCH? (PLEASE CIRCLE) BAPTISM
COMMUNION
CONFIRMATION
MATRIMONY
NONE
GENERAL INFORMATION FOR THE COUPLE: HOME ADDRESS: CITY: ZIP: HOME PHONE: MARRIED BY CIVIL CEREMONY: MARRIED BY THE CHURCH: NUMBER OF CHILDREN: NAMES AND AGES:
DATE: DATE:
NAME OF YOUR PARISH:
*THE COST OF THE RETREAT IS $ 85 PER COUPLE (INCLUDES BREAKFAST, LUNCH AND DINNER) THIS APPLICATION MUST BE SUBMITTED WITH CHECK MADE OUT TO: ST. MARK CATHOLIC CHURCH And can be left at the Parish Office ATTN: St. Mark Marriage Retreat 5601 South Flamingo Road Southwest Ranches, Florida 33330
Credit Card Authorization Form – Catholic Couples Marriage Group (CCM Group) I, ______________________________________ authorize CCM Group to charge my credit card Credit Card No.___________________________________________________ with Expiration Date ________________________ for the amount of US$ 85.00 . Name on the credit card:_____________________________________ Type: American Express____________ Visa___________ MC_________ Authorization Code: Visa /MC __ __ __ (three sub-digits at the back of the card) Amex __ __ __ __ (four digits printed in the front of the card) Authorized Signature x_______________________________ ** Please complete form, sign & fax back to CCM Group (305) 477-7296
