Orthodox Union Biennial National Convention Registration Form

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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.