Summit 2006 Registration Form

Please complete the following pre-registration form as soon as possible. Return to this form to submit travel information after booking travel.

Name
Spouse
Country
Educational Ministry

Travel Information	I will be driving to Springfield (or live in Springfield)
	I will be flying into Springfield Note: the Hawthorn Park Hotel has shuttle service to and from the airport.
		Arrival	Departure
	Date:
	Airline:
	Flight #:
	I will be renting a car

*Hawthorn Park Hotel	Single occupancy
	Double occupancy
	I will NOT be staying at the Hawthorn Park Hotel
	The hotel package includes 3 nights. Additional nights are available at a special rate of approximately $70 each (includes tax), single or double occupancy. All hotel reservations, including additional nights, should be made through this form to get this special rate*.