8/6/2019 Berlin Registration Form

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-THE INTERNATIONAL ASSOCIATION OF JEWISH LAWYERS AND JURISTS

Berlin Conference, November15-20, 2011

"Holocaust Denial and Freedom of Speech in the Internet Era"

Registration FormPlease complete all the details in CAPITAL LETTERS and return to:

Ms. Margalit Gordon, Isram Israel, 40 Aliyat Hanoar St. Tel Aviv 67450, IsraelTel: 972-3-6947777 Fax: 972-3-6966677, margalit@isram.co.il

For further inquiries you may contact IAJLJs offices at: iajlj@goldmail.net.ilOr call between 09:00 to 14:00 (Israel time): 972-3-6910673

Surname: ______________________ First name: _______________________________

[ ] Adv. [ ] Prof. [ ] Dr. [ ] Mr. [ ]Mrs. [ ] Ms. Passport number: ____________________

[ ] Home / [ ]Firm, name:___________________ Tel (w): _________________________

Tel (h)____________________________ Mobile: _______________________________

Address: ________________________________________________________________

Fax: _______________________ E-mail: ______________________________________

City: ____________________ Zip code: _________________Country: ______________

Accompanying persons:

Surname: __________________________ First name: _________________________

[ ] Adv. [ ] Prof. [ ] Dr. [ ] Mr. [ ]Mrs. [ ] Ms. Passport number: ____________________

[ ] Home / [ ]Firm, name:____________________: Tel (w): ________________________

Tel (h)____________________________ Mobile: _______________________________

Address: ________________________________________________________________

Fax: _______________________ E-mail: ______________________________________

City: ____________________ Zip code: _________________Country: ______________

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Package 1 - Five nights, November15-20, 2011 including flights TA/Berlin/TAFlights (*):November 15: Tel Aviv>Berlin LY 351-06:05-09:40, November 20: Berlin >Tel Aviv LY352 10:40-15:50; Airport transfers. Accommodation: 5 nights at the CrownePlaza Berlin City CentreHotel including breakfast and taxes; Touring: November 15:halfday city tour including Brandenburg Gate, Holocaust Memorial, Reichstag, Check PointCharlie and more; November 16: Full day tour to Jewish Berlin, Neue Synagogue, JewishCemetery, Villa Wansee and "Track 17"; November 19: Walking tour. Participation in alllectures, events, meals, Coffee breaks and transfers according to the program.

8/6/2019 Berlin Registration Form

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-THE INTERNATIONAL ASSOCIATION OF JEWISH LAWYERS AND JURISTS

(*) Flights schedule is subject to change at the sole discretion of El-Al. Flights Round trip on El Al are basedon group fare, economy, and are non-refundable after ticketing. Deviations from above dates will entail changefee and rate differential. Airport tax and fuel surcharges ($350) are subject to change until ticketing

Euro 1050 + $ 350 per person sharing a double room x ________= Euro ______ + $____ No. personsEuro 1310 + $ 350 per person in a single room x ________ = Euro ______+ $ ___

No.rooms

Package 2 - Five nights. November15-20,2011, without flightsAccommodation: 5 nights at the Crowne Plaza Berlin City CentreHotel includingbreakfast and taxes; Touring: November 15:half day city tour including Brandenburg Gate,Holocaust Memorial, Reichstag, Check Point Charlie and more; November 16: Full day tourto Jewish Berlin, Neue Synagogue, Jewish Cemetery, Villa Wansee and "Track 17";November 19: Walking tour. Participation in all lectures, events, meals, Coffee breaks and

transfers according to the program.

Euro 780 per person sharing a double room x _________ = Euro ______No. persons

Euro 1040 per person in a single room x _________ = Euro ______No.rooms

Package 3 Three nights, November 16-19 2011Accommodation: 3 nights at the Crowne Plaza Berlin City CentreHotel includingbreakfast and taxes; Participationin the November 16 Opening ceremony and dinner;November 17 and 18 - Two seminar days including lunch and coffee breaks; November 18

Friday night dinner; November 19 Walking tour . Including transportation from CrownePlaza Berlin City Centre Hotel to venues.

Euro 580 per person sharing a double room x _________ = Euro ______No. persons

Euro 736 per person in a single room x _________ = Euro ______No.rooms

Package 4 Conference Package, November 16-19 2011Participationin the November 16 Opening ceremony and dinner; November 17 and 18 -Two seminar days including lunch and coffee breaks; November 18 Friday night dinner;

November 19 Walking tour. Including transportation from Crowne Plaza Berlin CityCentre Hotel to venues.

Euro 400per person x _________ = Euro ______No. persons

For special requests, extra nights, Special Kosher food etc., kindly check with us in advance

Total = Euro ______ + $ _______

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-THE INTERNATIONAL ASSOCIATION OF JEWISH LAWYERS AND JURISTS

Payments and Cancellations

In order to reserve a Conference Packages, kindly send a deposit of Euro 300 per person.Balance due should be paid until October 9, 2011.

Deposit is fully refundable for cancellations up to August 1, 2011 . Cancellation Fees between August 1 to October 1: Euro 150 per person Cancellation fees Between October 1 to October 31: Euro 300 per person Cancellation after November 1: full cancellation fees will apply

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[ ] Enclosed please find a cheque of Euro ___________ payable to Isram Israel Or

[ ] Please charge my credit card: Visa/Mastercard/American Express/Diners (circle which)

Card number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Expiry date: _________________ Card holder full name: _________________________

Date: __________________________ Signature: _________________________________

Please note that payments in different currencies will be calculated according to the Euro exchange rate on the day ofpayment

Notes / Requests:_______________________________________________________________

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