Your Title
*
Please Select
Mr
Mrs
Ms
Dr
Elder
Minister
Deacon
Deaconess
Adjunct
Your name
*
First Name
Last Name
Your E-mail
*
example@example.com
Your Cell number
*
Format: (000) 000-0000.
Traveler's Emergency Contacts
Please identify two (2) adults to be contacted in case of an emergency.
Emergency Contact (#1)
*
First Name
Last Name
Phone Number (#1)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact (#2)
*
First Name
Last Name
Phone Number (#2)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Synod/Consecration Registration
Have you registered for the Synod?
*
Please Select
Yes
No
Type of registration?
Please Select
Presbytery (Ministers, Elders & Deacons) @$100
Non-Presbytery (all other members) @$50
Travel Details
Travel type
*
Please Select
Airline
Train
Bus
Automobile
Other
Have you booked your flight or other transportation option?
Please Select
Yes
No
Departure date & time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Return date & time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Traveler's Hotel
Select the hotel you reserved.
*
Please Select
Embassy Suites by Hilton Atlanta Airport
Holiday Inn Express Atlanta Airport
Marriott Gateway Atlanta Airport
Other arrangements
Enter your hotel confirmation number.
How many rooms did you reserve?
List the full names of each person that will occupy a room under your name, including yourself.
Additional information
Submit Form
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