THANK YOU for participating in our 7th Annual search for the longest married couple!
Our hope is to inspire others and the World by this couple's long-standing love and commitment to each other through the sacrament of marriage.

* We are currently seeking candidates from every state or province in the United States. You do not need to know the couple personally to nominate them.

Nomination Period is October 10, 2016 to January 10, 2017

Any questions, please email us at WWMELMC2017@gmail.com.

Thanks again and best of luck to all Nominee Couples! Your love inspires us all!

Dick & Diane Baumbach
Longest Married Couple Coordinators
Worldwide Marriage Encounter

Nominee Couple Information
Nominee Couple Name.
First names of husband & wife (ex. John & Jane Smith)
Your answer
Number of Years Married
Your answer
Wedding Date (if known)
Your answer
Place of Residence
City, State or Province (If city is not known, must include state or province.)
Your answer
Nominating Contact
Nominating Contact Name
Your answer
Your Phone Number
Your answer
Your Email Address
Your answer
Additional Information
Is there anything else you'd like us to know? Please use the free form area below.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms