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‫דין ומשפטנים יהודים‬-‫הארגון הבינלאומי של עורכי‬

THE INTERNATIONAL ASSOCIATION OF JEWISH LAWYERS AND JURISTS

Berlin Conference, November 15-20, 2011

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

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

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

For further inquiries you may contact IAJLJ’s offices at: iajlj@goldmail.net.il
Or 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: ______________
==============================================================

Package 1 - Five nights, November 15-20, 2011 including flights TA/Berlin/TA


Flights (*): 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 Crowne
Plaza Berlin City Centre Hotel including breakfast and taxes; Touring: November 15:half
day city tour including Brandenburg Gate, Holocaust Memorial, Reichstag, Check Point
Charlie and more; November 16: Full day tour to 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.
‫דין ומשפטנים יהודים‬-‫הארגון הבינלאומי של עורכי‬
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 based
on group fare, economy, and are non-refundable after ticketing. Deviations from above dates will entail change
fee 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. persons
Euro 1310 + $ 350 per person in a single room x ________ = Euro ______+ $ ___
No.rooms

Package 2 - Five nights. November 15-20, 2011, without flights


Accommodation: 5 nights at the Crowne Plaza Berlin City Centre Hotel including
breakfast and taxes; Touring: November 15:half day city tour including Brandenburg Gate,
Holocaust Memorial, Reichstag, Check Point Charlie and more; November 16: Full day tour
to 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 2011


Accommodation: 3 nights at the Crowne Plaza Berlin City Centre Hotel including
breakfast and taxes; Participation in 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 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 2011


Participation in 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 City
Centre Hotel to venues.

Euro 400 per person x _________ = Euro ______


No. persons

Total = Euro ______ + $ _______

For special requests, extra nights, Special Kosher food etc., kindly check with us in advance
‫דין ומשפטנים יהודים‬-‫הארגון הבינלאומי של עורכי‬
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

=================================================================
[ ] 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 of
payment

Notes / Requests:
_______________________________________________________________

_______________________________________________________________

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