6th North American Chevra Kadisha Conference 
 

June 1-3, 2008 - Edison, New Jersey


Information and Registration Form

   Please provide your contact information:

Title

First Name

Last Name
Organization Web-Address
Address
Address2
City State or Province
Country     Zip or Postal-Code
Work Phone

Cell Phone

Home Phone
E-mail   Fax














 




When will payment be received for your registration? 

       Regular (May 1 to May 27)              On-Site (After May 27)


Check the type of registration you want 

Type   Registration
May 1 - May 27
After May 27
F Full Conference  - Sunday (1-9), Monday (9-9), Tuesday (9-1) including Sunday dinner; Monday breakfast, lunch, dinner;  Tuesday breakfast, lunch.

$375

$400

C Commuter  - Sunday (1-9), Monday (9-9), Tuesday (9-1) including Sunday dinner; Monday lunch, dinner;  Tuesday lunch. $355 $380
S Sunday only - Sunday (1-9) including Sunday dinner. $165 $190
SM Sunday - Monday only - Sunday (1-9), Monday (9-9),  including Sunday dinner, Monday breakfast, lunch, dinner.

$325

$350

MT Monday - Tuesday only  -  Monday (9-9), Tuesday (9-1) including Monday breakfast, lunch, dinner;  Tuesday breakfast, lunch.

$325

$350

M Monday only  - Monday (9-9) including Monday breakfast, lunch, dinner; $250 $275
T Tuesday only - Tuesday (9-1) including Tuesday breakfast, lunch $165 $190

Please consider membership in Kavod v'Nichum. Your Chevra Kadisha can join for $180. Individual membership is $36 or $72. Your support of Kavod v'Nichum enables us to continue to provide the website, phone assistance and North American conferences.
 
No  Yes, Chevra Kadisha membership in Kavod v'Nichum $    180
No  Yes, Shomer individual membership in Kavod v'Nichum $    72
No. Yes, Chaver individual membership in Kavod v'Nichum $ 36
No. Yes, I would like to make a tax deductible donation of an additional $

Registration amount due (from above table) $

 Please fill in the total amount due $


   Please let us know when you will arrive at the conference - choose one of the following options:

I will arrive before Shabbat on Friday and I would like to attend services in the area
I will arrive before Shabbat on Friday and want to stay with a local family
I will arrive for the conference in time to register by 11am on Sunday.
I'm not sure when I will arrive.

I will have local transportation.


   Please let us know where you will be staying for the conference - choose one of the following options:

I will be staying at the Holiday Inn Hotel
I will be staying at another local hotel - which one?
I will make my own local arrangements with family or friends
I would like home hospitality if it can be arranged (it is limited, but we'll try).
I don't know yet where I'll be staying.


   Please let us know about your food needs for the conference - Kosher food (under supervision) will be served 

No. Yes, I am a Vegetarian.
No. Yes, I am allergic to certain foods. Please list:
No. I need certain types of foods - e.g low salt, high protein. Please list below:


   Please provide details if you need physical accommodations for a disability

Other issues or comments:


   Please tell us how you will pay:

I will pay by credit card. Press the Registration button and print the acknowledgement for your records.  Then follow the Link to Credit Card Payment.  

I will pay by check. Press the Registration button and print the acknowledgement for your records. Then send a copy of your acknowledgement with your check (made out to Kavod v'Nichum - Chevra Kadisha Conference) to:

Kavod v'Nichum
8112 Sea Water Path
Columbia, MD  21045

Please be patient after pressing the Registration Processing button...

It may take a minute or two to process this form! 

  

 


Copyright 2002-2008 Kavod v'Nichum. All rights reserved.
Revised: January 1, 2008