On-line Registration Form:

Personal Details

Last Name:*
First Name:*
Date of Birth:*
(Day / Month / Year)
Passport Number:*
Expiration Date:*
(Day / Month / Year)
Please make sure your passport is valid for at least 6 months from the day of the trip
Nationality:*
City:*
Country:*
Phone:*
Mobile:*
Email:*

Vegetarian:*
Lunches and dinners served during the Conference will be kosher
Yes No

Do you have any allergies or any special needs? *
Yes, please specify:
No

Flight Information & Airport Transfers

Arrival in Tel-Aviv
Date
Flight No
From
Arrival Time
:
Departure from Tel-Aviv
Date
Flight No
To
Departure Time
:

Spouse

If you are travelling with your spouse, please fill in the following:

Spouse - Personal Details

Last Name:
First Name:
Date of Birth:
(Day / Month / Year)
Passport Number:
Expiration Date:
(Day / Month / Year)
Please make sure the passport is valid for at least 6 months from the day of the trip
Nationality:

Hotel Information

The number of rooms and categories are subject to availability

Conference participants will be hosted at the Ritz Carlton Hotel Herzliya, 30 April - 3 May 2017.
On 3 May, the Conference will be moving to the Waldorf Astoria Jerusalem (see below).

Check in : 3:00 pm
Check out: 12:00 pm

Breakfast included.

Please note: The conference Registration opens from 2:00 pm on Sunday, 30 April 2017.
The activities of the Conference will conclude on Wednesday, 3 May, late at night.

No accommodation required

1) Ritz Carlton Hotel Herzliya, 30 April - 3 May 2017

Check in date
Check out date
Nights:
Sharing room?
Yes   No
Sharing With
If you are sharing with someone other than your spouse, they must complete a separate registration form.

The following preferred rates are valid between 28 April – 3 May 2017:

  Room Type Hotel Room Rates per night
Superior Single occupancy (1 King bed) $ 377
Superior Double occupancy (1 King bed) $ 377
Deluxe Sea View Single occupancy (1 King bed) $ 441
Deluxe Sea View Double occupancy (1 King bed) $ 441
Deluxe Marina View Single occupancy (1 King bed) $ 473
Deluxe Marina View Double occupancy (1 King bed) $ 473
Deluxe Marina View Share (2 twin beds) $ 473
Executive Suite Double Occupancy (1 King Bed) $ 582
Executive Suite Single Occupancy (1 King Bed) $ 582

Note: The price for Superior Marina View Rooms and Superior Sea View Rooms are the same.
As there are a limited number of Superior Marina View Rooms, they will be allocated on a first-come-first-served basis.

Early check-in to the Ritz Carlton on 30 April 2017

Check in to The Ritz Carlton is guaranteed from 3:00 pm. Early check in from 11:00 will be accommodated subject to availability only on day of arrival.
In order to guarantee early check-in to your room BEFORE 3:00 pm, payment is as follows:
Before 8:00 am – payment of 1 additional full night (breakfast included)
After 8:00 am – payment of additional 50% of room rate (breakfast not included)

Please confirm GUARANTEED early check in (with charge) on my day of check in as follows:
Before 8:00 am (payment of 1 additional full night, breakfast included)
After 8:00 am (payment of 50% of room rate, breakfast not included)

2) WALDORF ASTORIA

Conference participants will be hosted at the Waldorf Astoria Jerusalem, 3 - 4 May 2017.

Check in date
Check out date
Nights:
Sharing room?
Yes   No
Sharing With
If you are sharing with someone other than your spouse, they must complete a separate registration form.

The following preferred rates are valid between 3 May – 7 May 2017:

  Room Type Hotel Room Rates per night
Deluxe Single occupancy $ 377
Deluxe Double occupancy* $ 377
Deluxe Half Share ** $ 189
Deluxe with Balcony Single occupancy $ 409
Deluxe with Balcony Double occupancy* $ 409
Deluxe with Balcony Half Share ** $ 205
Grand Deluxe Single occupancy $ 441
Grand Deluxe Double occupancy* $ 441
Grand Deluxe Half Share ** $ 221
Junior Suite Single occupancy $ 538
Junior Suite Double occupancy* $ 538

* Double occupancy – Do you need 2 Twin Beds instead of 1 King Bed ?
Yes
No

** Half Share – if you are booking a Half Share, you must make sure that your roomate completes their registration.
If your roomate does not complete their registration, you will be charged the full price of the room.


Hotel Special Requests

Please note any special room needs or requests here:

Cancellation policies:

  • Until 23 March 2017 – no cancellation fee
  • From 24 March – 18 April 2017 – 1 night cancellation fee
  • After 19 April 2017 – Full cancellation fee on hotel + $ 200 participation fee per person

Registration

Registration Fee: $ 1,050

Includes activities, meals and transportation throughout the conference per person.
Arrival/Departures: Assistance upon arrival/departure at the passport control and transfers to/from the Ritz Carlton Hotel, Herzliya

Spouses will be charged the same registration fee.

Please charge Registration Fee for *

Payment Options

Total Payment (registration fee and hotel): $ 0

Please note that your registration is not complete without payment

All payments should be made in US $. Please select your method of payment:

Credit Card
 
Payment with a credit card carries an additional handling fee of 2%.
Your credit card will be charged in US $ by TRAVEX Ltd. KH agent in Israel.
Payment in full will be processed within 3 business days of submission of registration. Receipts will be sent by return email.
Name on Credit Card:
Type of Credit Card:
Credit Card Number:
CVV Number - 3/4 digits on back of card
Expiration Date:
 
Bank Transfer
  Please send a copy of your bank transfer confirmation by email to kerenhayesod@travex.co.il.
Bank details as follows:
Travex Ltd.
Account # 106 - 717215
First International Bank of Israel
Main branch Jerusalem #012, Israel
10 Hillel Street
94581 Jerusalem , Israel
Swift code FIRBILITXXX
IBAN # IL 42 031 012 0000000 717215
 
Other
  Please specify:
 
Canadian
 
Keren Hayesod Representative

To complete your registration, please click on SUBMIT.

Looking forward to having you with us!