PRE-MARRIAGE ENROLMENT FORM

*= required
Bride
Alpha Code:  
Surname: *
Preferred Name: *
Age:  
Religion:  
First Marriage? YES NO *
Address:  
Suburb:  
State:  
Post Code:  
Daytime contact No:  
 
Groom
Alpha Code:  
Surname: *
Preferred Name: *
Age:  
Religion:  
First Marriage?


*
Address:  
Suburb:  
State:  
Post Code:  
Daytime contact No:  
 
Correspondence will be sent to email address (if provided) unless requested otherwise.
Email Address: *
Or Postal Address: *
 
Wedding Details
Wedding Date:  
Name of Church/Chapel:  
Celebrant's Name:  
Address:  
Suburb:  
State:  
Post Code:  
 
Enrolment Details
   
Course date required
Course NameCostFirst ChoiceSecond Choice
Together Forever$170 per couple
Night Owls$170 per couple
FARE $240
Please ring office on
08 9325 1859 to make an appointment
FOCCUS Plus $240
Prepare/Enrich $240
ReMarriage $


Payment Details
Pay $170/240 to via:

EFT [Electronic Funds Transfer]

*

Enrolment Conditions

  • On receipt of your enrolment and payment, a letter /or email will be sent confirming you course date
  • At least 3 days notice is required in order to transfer to another course.
  • A $50 Administration Fee will apply if you choose to cancel your enrolment.
  • We reserve the right to cancel any course that has insufficient enrolments. In such cases you will be notified to arrange an alternative course date or a refund will be made.