First Name: Last Name:

Presbytery: Arkansas GA Cimarron Eastern Oklahoma Grace Indian Nations Mission New Covenant Palo Duro Pines South Louisiana Tres Rios Synod of the Sun Presbytery/Synod Position: Presbytery Executive GA Staff Staff Associate Presbyter Stated Clerk Other

Mailing Address:

City: State: AR LA OK TX   Zip: Phone:

Email:

Transportation information:  Shuttles will be arranged based on arrival and departure times provided. Your airport pick-up time will be emailed (or otherwise provided to you) no later than March 31.

Traveling by: Car  Air (complete arrival/departure info for airport transportation)

Arrival time   Date Monday, 7th Tuesday, 8th   Airline Airport Love Field DFW  
Depart time   Date Tuesday, 8th Wednesday, 9th   Airline Airport Love Field DFW  

Hotel Accommodations:  Housing is being provided at the Holiday Inn Express Hotel & Suites (formerly Aspen/Amerisuites), 333 W John Carpenter Fwy, Irving, TX

Will you need a hotel room? (Please check only one):
                            I will need a hotel room for Monday, April 7th
                            I will need a hotel room for Tuesday, April 8th
                            I will not be staying the night at the hotel.
                            Other. Please describe:

               Check all that apply: Non-Smoking   Smoking    Disability Accessible

Are you willing to share a room? (Please check only one):
                             I will share a room as assigned.
                             I have a preferred roommate
                                   and I have verified with him/her.
                             I prefer not to share a room (or I will be bringing my spouse),
                                   and I agree to pay the extra cost of $49.00 per night.