Orthodox Union Biennial National Convention Registration Form Thanksgiving Weekend, Wednesday evening, November 24 - Sunday morning, November 28, 2004 • 11 Kislev - 15 Kislev, 5765
PERSONAL TITLE
INFORMATION
PRINT NAMES AS ON PASSPORT
NAMES FOR I.D.TAG (IF DIFFERENT)
DATE OF BIRTH
PASSPORT NUMBER
COUNTRY OF ISSUE
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Mailing Address (No PO Boxes)
City
State
Zip
Mailing Address for Tickets
City
State
Zip
Tel.: Work: (
(IF DIFFERENT FROM ABOVE)
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Home: (
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Cell: (
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Fax: (
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E-mail:
l I/We are official delegates (please check if applicable)
Synagogue Affiliation
CONVENTION
/
l ELAL air group flights
HOTEL
refer to air guidelines enclosure
* 4 nights at the Renaissance Jerusalem Hotel, Wednesday evening, November 24 through Sunday morning, November 28
Flight Option Number Selected: Flight Cost PP
$__________
* Convention sessions, most meals including Shabbat dinner, lunch, Seuda Shlishit, Melave Malka, Oneg Shabbat, group transfers to and from airport in Israel, and porterage
Flight tax (subject to change; currently $77/78)
$__________
Early Arrival/Late Extension Charge ($50)
$__________
# of rooms requested ______
Flight Deviations (Office use only)
# per room (maximum three): Adults ___
Children under 18 ___
TO ISRAEL ____ FROM ISRAEL ____
(one of the flights must be part of the group chart schedule)
Students ___
AIR CHARGES
_______________________________________
Full payment of air is required.
l Arranging my/our own flight
$___________
Basic Convention Package $499 per person/double occupancy
$___________
Basic Convention Package $629 per person/single occupancy
$___________
Early-Bird Special $100 discount per adult until August 16 (deduct $100)
$___________
Child up to18 as third in room ($240)
$___________
TOTAL OF ALL CHARGES
$___________
Adult as third in room ($400)
$___________
Optional Fedex ticket mailing ($25)
$___________
Convention Registration Fee $54 per person, $100 maximum per family
$___________
TOTAL AMOUNT
$___________
Pre/Post Convention Hotel Rates (includes breakfast)
PAYMENT FOR CONVENTION/HOT E L / A I R
1.
CHECK (checks payable to Orthodox Union)
2.
FAX: Credit Card Payment to 212.613.0667
Check #__________________________ Amt: $___________ Additional Hotel Nights Requested (Dates): Additional Hotel Nights, double occupancy—$40 per person; if before 11/21 or after 11/30—$50 per person)
$___________
Please bill my credit card for
Additional Hotel Nights, single occupancy—$70 per person; if before 11/21 or after 11/30—$90 per person)
$___________
Card # ________________________________ Exp. Date:_________
Adult as third in the room ($35)
$___________
Children up to age 18 Free – Breakfast Charge $20
$___________
VISA
AMERICAN EXPRESS
$ _________________
MASTERCARD
DISCOVER
Name on the card ___________________ Daytime Number of Card Holder (
Student Studying in Israel Free as a Third in Parents'/Grandparents' Room (includes breakfast): Circle nights student will stay in hotel: WEDNESDAY
THURSDAY
3. FRIDAY
THURSDAY DINNER $50 SHABBAT MEALS $95 (FRIDAY, DINNER; SHABBAT LUNCH; SEUDA SHLISHIT)
Cost of student meals:
MAIL: Check or Credit Card Payment to: National Biennial Convention, Orthodox Union 11 Broadway, New York, NY 10004
SHABBAT
Circle meals desired: BREAKFAST (NO CHARGE)
) ________________
4.
ON-LINE:
www.ou.org/convention
5. TELEPHONE INQUIRIES: Frank Buchweitz, 212.613.8188.
$___________ Updated itineraries and group flight information will be posted on our website www.ou.org/convention
TOTAL CONVENTION AND HOTEL
$___________
Deposit submitted: $100 per person
$___________
Orthodox Union Convention, 11 Broadway, New York, NY 10004. 212.613.8188
Orthodox Union Biennial National Convention Airline Information Guidelines Thanksgiving Weekend, Wednesday evening, November 24 - Sunday morning, November 28, 2004 11 Kislev - 15 Kislev, 5765
ELAL group flight and pricing information are provided from the Greater New York area, Los Angeles, Miami, and Chicago, subject to availability and written confirmation. Group rates are only applicable when purchased with convention. Mehadrin kosher meals will be ordered for all ELAL group flights.
ELAL Group Flights Schedule Group flights have specific departure and return dates. Indicate the flight option number that you would like on your registration form: 1 2 3 4 5 6 7 8 9 10 11
Option # Leaving
Flight to Israel #
Flight to America
Take Off
Airport
Arrive
Returning
#
Take Off
Arrive
Airport
Cost*
Flights fromJFK and Newark 1
Sat, Nov 20
8
11:50 pm
JFK
Sun, Nov 21, 4:05 pm
Sun, Nov 28
27
12:01 am
Sun, Nov 28, 6:00 am
Newark
$955
2
Sat, Nov 20
8
11:50 pm
JFK
Sun, Nov 21, 4:05 pm
Mon, Nov 29
1
1:00 am
Mon, Nov 29, 4:30 am
JFK
$955
3
Sun, Nov 21
28
3:00 pm
Newark
Mon, Nov 22, 8:40 am
Mon, Nov 29
1
1:00 am
Mon, Nov 29, 4:30 am
JFK
$780
4
Mon, Nov 22
8
11:50 pm
JFK
Tues, Nov 23, 4:05 pm
Mon, Nov 29
7
11:00 am
Mon, Nov 29, 3:45pm
JFK
$860
5
Tues, Nov 23
8
11:50 pm
JFK
Wed, Nov 24, 4:05 pm
Sun, Nov 28
27
12:01 am
Sun, Nov 28, 6:00 am
Newark
$955
6
Tues, Nov 23
8
11:50 pm
JFK
Wed, Nov 24, 4:05 pm
Tues, Nov 30
1
1:00 am
Tues, Nov 30, 4:30 am
JFK
$860
Flights from Los Angeles 7
Sun, Nov 21
106
12:25 pm
LAX
Mon, Nov 22, 3:55 pm
Sun, Nov 28
105
12:30 am
Sun, Nov 28, 10:25 am
LAX
$1,080
8
Sun, Nov 21
106
12:25 pm
LAX
Mon, Nov 22, 3:55 pm
Mon, Nov 29
105
12:30 am
Mon, Nov 29, 10:25 am LAX
$1,080
9
Mon, Nov 22
106
12:25 pm
LAX
Tues, Nov 23, 3:55 pm
Mon, Nov 29
105
12:30 am
Mon, Nov 29, 10:25 am LAX
$1,080
28
10:10 am
MIA
Wed, Nov 24, 8:40 am
Tues, Nov 30
27
12:01 am
Tues, Nov 30, 10:40 am MIA
$955
10:20 am
O’Hare
Tues, Nov 23, 8:30 am
Mon, Nov 29
27
12:01 am
Mon, Nov 29, 9:20 am
$900
Flight from Miami 10
Tues, Nov 23
Flights from Chicago 11
Mon, Nov 22
28
O’Hare
*Price does not include airport tax (currently $77.00 from NY, $78.50 from LA and MIA but subject to change.) Up to $150 for air changes, revisions, and cancellations before ticketing. $250 cancellation penalty once ticket is issued.
Matmid and Frequent Flyer Mileage: We can report this trip to any ONE of the following frequent flyer programs. Please circle ONE and provide your account number: El-Al Matmid # _________________________________ American Airlines Frequent Flyer #_________________________________ Note:This number will be entered into the El Al Reservation system. Point accumulation varies by airline. Issues regarding frequent flyer programs should be made directly to the respective frequent flyer programs. (Until you see mileage credit on your frequent flyer statement, please keep your boarding passes.)
Deviations from Flight Schedule: A) Mix and match arrival or departure – Pay the higher of the two fares. B) Early arrival or late extensions must utilize one of the flights listed in the chart. Call 718.633.6194 ext. 275 to book your flight dates. There will be a $50 service fee above any additional cost of the ticket for ELAL flights. C) If the ELAL flight schedule does not accommodate your needs, you may call 1-800-207-3757 to book your flight reservations on ELAL or any other airline. Mention that you are participating in the Orthodox Union Convention. D) American Airlines 1-800-433-1790 is also offering a 10% discount on flights after November 17th for tickets purchased 30 days in advance; 5% after that, subject to availability. Indicate the Orthodox Union password when calling, 11N4AH. Please indicate on your registration form if you are arranging your own air reservations.