REGISTRATION FORM

NATIONAL COUNCIL OF JEWISH WOMEN OF AUSTRALIA  LIMITED  LIMITED 

NATIONAL QUADRENNIAL CONFERENCE 17 – 20 JUNE 2007

Fanny Reading Council House 111 Queen Street Woollahra NSW

“Towards Harmony and Progress – Women Lead the Way”

Click for full Conference Programme
 

PERSONAL DETAILS (Please print)

Surname________________            Title (Dr/Mrs/Ms___________                  
Given Name_________________________________

Address for Correspondence_______________________________________________________________________

____________________________________________________________________________________

City________________________State________________Postcode________     Fax______________________________________

Telephone__________________          Mobile_________________ Email_______________________________________________

Please include my partner in the Accompanying Persons’ Programme

Accompanying Person’s Name _____________________________________________

Specific dietary requests (Kosher, vegetarian, or other)________________________

As ICJW personnel I will be attending the ICJW Regional Meeting ________________

I will be attending Pre Conference Meeting (for current National Board Members) Sun 17.6.07, 11am___________

I will be attending Post Conference Meeting (for incoming National Board Members) Thurs 21.6.07, 9am____________

REGISTRATION FEES  (Prior to May 17)

 Delegates:                                    $350.00

 Day Registration:                             75.00 including  daytime sessions and lunch

 Session Registration:                        20.00 per session

Registration Total:       $

_________________________________________________________________________________

Hotel:  Rooms are being held at The Savoy Hotel, Knox Street, Double Bay, info@savoyhotel.com.au,
02-9326-1411

Standard Room from $109.00 including breakfast, Double/Twin $125.00 per room including breakfast. 
Other rooms available. Please book direct as an NCJWA delegate in order to receive discount tariff.

Billeting:  B & B only.  I require to be billeted.  Special requirement:___________________

Date of Arrival:__________________________________Departure:__________________________________

If staying with family or friends:      Address:____________________________________________________________

Contact number:__________________________________

FUNCTIONS

Sunday 17 June

Opening Dinner – included in delegate’s and accompanying person’s registration fees

Additional tickets - $60 perperson___No:__________________$__________________

Tuesday 19 June

Free night.  Evening Home Hospitality available____YES_________________NO_________________________________

Wednesday 20 June

Gala Closing Dinner – included in delegate’s and accompanying person’s registration fees

Additional tickets - $60 per person_____________No:___________________ $____________ 

Total:______$___________________

TOTAL PAYMENT:____________$___________________

Cheques should be made payable to:  NATIONAL COUNCIL OF JEWISH WOMEN OF AUSTRALIA LIMITED

I wish to pay by credit card.  Please debit my:

              Mastercard                         Visa Card

Credit Card Number           _  _  _  _    _  _  _  _    _  _  _  _    _  _  _  _

Card Holders Name:______________________________

Expiry Date:_______________________
 
Signature:__________________________________ 

Return your registration form and payment to:

National Council of Jewish Women of Australia Limited

PO Box 57 Woollahra NSW Australia 1350

Telephone:  (02) 9363-2511  Facsimile:  (02) 9362-4092

Email:  ncjwnat@bigpond.net.au Website:  www.ncjw.org.au

Office Use Only

Credit Card:____________________Auth. No.________________      Auth. Date________