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JENC6 Registration Form(s)

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  • Date: Tue, 14 Feb 1995 16:46:53 +0100
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===========================================================================
REGISTRATION AND ACCOMMODATION FORMS
===========================================================================

    Please type or fill out in BLOCK letters and mail to:
    JENC6 - May 1995
    c/o International Travel & Congresses Ltd.
    P.O. Box 29313, 61292 Tel Aviv, Israel
    Tel: + 972-3-5102538; Fax: + 972-3-5160604
    E-mail: register@localhost

Payments should be made in US Dollars only. All costs of bank transfers to
be paid by the transmitter.

Please state JENC6 and your name on all payments.

------------------------------------------------------------------------
CONFERENCE REGISTRATION FEE(S):

Early Registration (Before March 30)  ECU 425     USD 520      USD _____
Late Registration  (March 30 - May 11)ECU 475     USD 580      USD _____
Desk Registration  (from May 14)      ECU 525     USD 640      USD _____

Accompanying Person(s)
(Includes Opening Reception,
Gala Dinner and Jerusalem Tour)        ECU  75     USD  92     USD _____

Tutorial (Pre/Desk)                    ECU 205/246 USD 250/300 USD _____

TOTAL AMOUNT TO BE CHARGED:                                    USD _____

Name ___________________________________________________________________
         Last            First            Middle Initial     Title


Full Mailing Address
________________________________________________________________________
________________________________________________________________________

Country               Telephone              Fax          E-mail
________________________________________________________________________

Jerusalem Tour (please select): Wednesday AM __ Thursday* PM __
* Would you require a lunch box (USD 12.-) please select: YES/NO

Do you have a special meal request?_____________________________________

For Israeli participants: Payments to be made according to "Shaar
Yatsig" on day of payment.

METHOD OF PAYMENT:    [] Visa    [] AMEX   [] Diners Club

Date of Expiry ________________ Cardholder's name ______________________

Account no: 410977, Israel Discount Bank, Branch 100, 4 Rothschild
Boulevard 66881 Tel Aviv, Israel

Date ___________________________ Signature _____________________________

------------------------------------------------------------------------
------------------------------------------------------------------------
ACCOMMODATION & TOURS RESERVATION:

Name ___________________________________________________________________
         Last            First            Middle Initial     Title


Full Mailing Address
________________________________________________________________________
________________________________________________________________________

Country               Telephone              Fax          E-mail
________________________________________________________________________

I will share a room with _______________________________________________

Accommodation:
A deposit of 1 night hotel accommodation is required in order to guarantee
your reservation
                                    single            double (p/p)
    Dan Panorama Tel Aviv
    (Deluxe)                        USD 134           USD 77

    Dan Panorama Tel Aviv
    (Regular)                       USD 104           USD 62

    Metropolitan
                                    USD  75           USD 46

    City
                                    USD  69           USD 44

Arrival Date:_______  Departure Date:_______ No of nights:______________



Optional Pre/Post conference tours:
    USD 100.- deposit per person for post conference tours.
    Full pre-payment for pre-conference tour.
    USD 25.- deposit for Dinner/Entertainment


                               single             double p/p

    Pre-conference tour A
    Metropolitan               USD 310            USD 241
    Dan Panorama               USD 339            USD 257

    Post-conference tour B
    First Class hotel          USD 383            USD 311
    Deluxe hotel               USD 510            USD 402

    Post-conference tour C     USD 235            USD 196

    Tour D                                        USD  22 (no hotel)

    Tour E                                        USD  59 (no hotel)

    Tour F                                        USD  53 (no hotel)

    Dinner/Entertainment                          USD  55 (no hotel)


                       TOTAL  Accommodation & Tours USD ____________
                                         Deposit    USD ____________
                                       Balance Due  USD ____________


Do you have a special accommodation/meal request?____________________

For Israeli participants: Payments to be made according to "Shaar
Yatsig" on day of payment.

METHOD OF PAYMENT:
____________________________________________________________________

[] Visa            [] AMEX             [] Diners Club

Date of Expiry ________________ Cardholder's name __________________

Account no: 396699, Israel Discount Bank, Branch 100, 4 Rothschild
Boulevard 66881 Tel Aviv, Israel

Date _____________________________ Signature _______________________





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