JENC6 Registration Form(s)
- Date: Tue, 14 Feb 1995 16:46:53 +0100
- Resent-date: Tue, 14 Feb 1995 17:01:52 +0100
- Resent-message-id: <9502141601.AA11117@localhost
- Resent-to: Reseaux IP Europeens <>
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REGISTRATION AND ACCOMMODATION FORMS
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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.
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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 _____________________________
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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 _______________________
