Date: | ________________________________________________________ |
Name: | ________________________________________________________ |
Home Address: | ________________________________________________________ ________________________________________________________ |
Home Phone: | ________________________________________________________ |
Home Fax: | ________________________________________________________ |
Personal E-Mail: | ________________________________________________________ |
Affiliation/Institution: | ________________________________________________________ |
Position: | ________________________________________________________ |
Work Address: | ________________________________________________________ ________________________________________________________ |
Work Phone: | ________________________________________________________ |
Work Fax: | ________________________________________________________ |
Work E-Mail: | ________________________________________________________ |
Please print clearly exactly what you want printed on your badge. Name_______________________________________________ Organization _________________________________________ City ___________________________ State ________________
Check any that apply to you: |
Please send correspondence to my: Home __________ Work __________
Is this your First AJL Convention? Yes __________ No __________
Would you like a hotel roommate to share expenses? Yes __________ No __________
Do you need Shabbat Home Hospitality? Yes __________ No __________
Will you need vegetarian meals to be provided for you at mealtimes? Yes __________ No __________
In which AJL Division are you a member? R&S __________ SSC __________
Will you attend the Executive Board meeting at 9:30 a.m. on Sunday? Yes __________ No __________
Will you attend the Council Meeting at 12:30 p.m. on Sunday? Yes __________ No __________
Please circle the registration fee that you will be paying.
Registration forms postmarked: | By May 1, 1999 | After May 1, 1999 |
AJL Member | $275.00 | $300.00 |
Non-Member | $305.00 | $330.00 |
Please mark the day(s) you plan to attend.
By May 1, 1999 | After May 1, 1999 | ||
_____ | Sunday | $70.00 | $80.00 |
_____ | Monday | $100.00 | $110.00 |
_____ | Tuesday | $100.00 | $110.00 |
_____ | Tuesday Banquet | $75.00 | $85.00 |
_____ | Wednesday | $100.00 | $110.00 |
_____ | Sunday dinner | $65.00 |
_____ | Monday breakfast | $20.00 |
_____ | Monday lunch | $35.00 |
_____ | Tuesday breakfast | $20.00 |
_____ | Tuesday lunch | $35.00 |
_____ | Tuesday banquet | $75.00 |
_____ | Wednesday breakfast | $20.00 |
_____ | Wednesday box lunch | $25.00 |
__________ Sunday, June 20, 2:30 p.m. - 4:00 p.m.
Boca Raton Historical Society: Walking tour of the original Resort, a historical landmark.
Price: $7.50
Monday, June 21, 5:30 p.m. - 7:30 p.m.
Boca Raton is the fastest growing Jewish community in the nation. As such, two remarkable sites will be available for tour and reception. Monday tours are generously underwritten by the hosting institutions. Buses return to Boca Resort & Club 8:00 p.m.
__________ The Molly S. Fraiberg Judaica Collections. Florida Atlantic University. S.E. Wimberly Library. Free.
__________ The Adolph and Rose Levis Jewish Community
Center, Jewish Federation of South Palm Beach County. Free.
__________ Wednesday, June 23, 1:00-4:00 p.m.
Boca Raton Private Collections in Judaica, Fraiberg Collection, Arthur Jaffe.
Price: $12.00
Additional tours of the area can be arranged through the hotel concierge.
Full Convention Registration: | $__________ |
Per Diem Registrations: | $__________ |
Additional Guests at Meals: | $__________ |
Tours: | $__________ |
TOTAL ENCLOSED: | $__________ |
Please make checks payable to AJL Convention, 1999 and mail check along with this fully completed form to:
Kathleen Clotfelter, Registrar
1931 SW 81 Terrace
Davie, FL 33324-5436
Your cancelled check will be your receipt. If you must have a separate receipt, check here: __________
Refund requests must be submitted in writing prior to May 30, 1999 and are subject to a $25 cancellation fee. Refunds will be processed and mailed after July 1, 1999.
Shoshanah Seidman
VP Membership
9056 Tamaroa Terrace
Skokie, IL 60076-1928.
Please retain a copy of this form for your records.
Convention '99 | Programs | Registration | Exhibits | Accommodations | More Info |
This page created and maintained by Heidi Estrin, estrinh@hotmail.com. Last updated 1/22/1999.