Please complete the following questions and submit; it will be sent to the conference speaker at: MarriageTuneUp@hotmail.com

Husband’s name *
Husband’s name
Husband’s Phone
Husband’s Phone
758- ###-####
Wife’s name
Wife’s name
Wife's Phone
Wife's Phone
eg: 758-###-####
Home Phone
Home Phone
758-###-####
Couple Aniversary
Couple Aniversary

We encourage you to invite one or two other couples to be praying for you while you’re at the Marriage Tune-up, asking that God will bring a new level of intimacy to you.

once submitted the this form is send to : MarriageTuneUp@hotmail.com 

If you encounter any problem completing the form please call 758-450-9926 or 758-286-2967