The Marriage Course

Information about your course

Church Leader:	*First Name
	*Surname
*Church Name / Course Name:
*Address:
*Town:
* State:
*Postcode:
*Denomination:
*Church Office Telephone Number
Church Office Email:

Course Facilitators details
Name:		*First Name
		Spouses First Name
		*Surname
*Address:
*Town:
*State:
*Postcode:

*Telephone:
Email*:
**A confirmation of this form is sent to this email address

Course Details
*Proposed start date of Marriage Course (dd/mm/yy)
Are you holding the course in:
A Home			Yes No
The Church or Church hall			Yes No
Other Venue			Yes No
How many couples are you expecting
Do you use Live Speakers, Audio, Video, or Combination (check all that apply):
Live Speakers		Audio	Video

Can your course detail be shown in our web directory			Yes No
The following details will be shown in the web directory, if you answered 'YES' above
*Telephone Number for Course enquiries
Email address for Course enquiries/registrations: (we endeavour to store all emails in such a way to prevent spam)

If your church / course has a website, and you would like it linked from the Directory, please add your details:

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or
Submit a new entry



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