Marriage Encounter Sign-up Form

Last Name _________________________ His First/Nickname _____________________


Her First/Nickname _____________________  Wedding Date _____________________


Street Address _____________________________________________________________


City ____________________________ State ______________ Zip _________________


Home Phone (     ) _________________ Business Phone (     ) ________________


E-mail address ________________________ Home church ________________________


We learned about M.E. from _________________________________________________


Special Needs: ___ Dietary  ___ Medical  ___ Mobility ___ Other ____________


Please explain special need: _______________________________________________


Send $50 nonrefundable fee payable to Marriage Encounter

Mail to: Scheduling Couple
         Eugene & Roberta Clausen
         1201 High Plains Circle
         Lincoln, NE 68512

         (402) 435-5006
         Email: This email address is being protected from spambots. You need JavaScript enabled to view it.


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4801 Prescott Ave., Lincoln, NE 68506

Pastor on call 402.665.1309

Contact Us

  • Office: 402.486.2880
  • Fax: 402.486.2886

Office Hours

Mon – Thurs, 9 a.m. –  Noon, 1 – 4 p.m.
Friday, 9 a.m. – Noon

Closed Nov. 21–23 for Thanksgiving

© 2018 College View Seventh-day Adventist Church. All Rights Reserved.