Presbyterian Church (U.S.A.) - GA Moderator

Bruce Reyes-Chow Moderator of the 218th General Assembly

General Assembly Moderator’s Visit Request Form

Please complete this form to request dates on the schedule of the Moderator of the General Assembly.

These requests will be shared with synods so that they may participate, in consultation with presbyteries, in the development of the Moderator's itinerary within their bounds.

PLEASE FILL IN ALL OF THE INFORMATION REQUESTED:

This request is from:

Synod

Presbytery

Congregation

Other

Synod:

Presbytery:

Congregation:

Other:

Name of meeting, event or mission site:

Date of visit:

Alternate dates: (separate dates with a comma)

What is the Moderator being asked to do? Please be specific.

Are there other events/meetings in the presbytery or synod to which this visit can be linked?

When was the last time a General Assembly Moderator visited?

Contact person’s name:

Contact person’s email:

Address:
Street:
City:
State:
Zip:

Telephone number(s):
Fax:
Office:
Home:

Other information:.

Person making request: (If other than contact person)

Requestor email: (If other than contact person)

Telephone number(s):
Office:
Home:

Response needed no later than:


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