On-line Registration Form:

Personal Details

Last Name:*
First Name:*
Name Tag:*
Please list above how you would like your name to appear on your name tag
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:
Name Tag:*
Please list above how you would like your name to appear on your name tag
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 Waldorf Astoria Jerusalem.

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

Due to the high demand for hotel rooms over this Yom Ha’atzmaut, early check-in and late check-out will be subject to availbility upon arrival/departure.
In order to guarantee early check-in and/or late check-out, please book an additional night at the hotel.

Breakfast included.

Please note: The conference Registration opens from 3:00 pm on Monday, 16 April 2018.

Important: The Keren Hayesod Yakir Prize Ceremony will take place in the evening on Monday, 16 April 2018.
Please schedule your arrival to Israel accordingly.

The activities of the Conference will conclude on Thursday, 19 April 2018, late at night.

No accommodation required
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 at the Waldorf Astoria are valid from 13–23 April 2018.

Room Type Hotel Room Rates per night
Single Room Double Room * Half Share in Double Room **
Deluxe $495 $495 $248
Deluxe Balcony $523 $523 $262

* 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.

Please note any special room needs or requests here:

Cancellation policies:

  • Until 24 January 2018 – no cancellation fee
  • From 25 January – 24 February 2018 – 1 night cancellation fee + $ 100 participation fee per person
  • After 25 February 2018 – Full cancellation fee on hotel + $ 200 participation fee per person

All cancellations must be received in writing.

Registration

Please note the following Registration Fees for the Annual World Conference

Per Person Registration Fee Valid Dates
$ 1,020.00 Early Bird Registration Fee Valid until 27 November 2017
$ 1,120.00 Regular Registration Fee Valid 28 November 2017 – 24 January 2018
$ 1,220.00 Late Registration Fee Valid as of 25 January 2018

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 Waldorf Astoria, Jerusalem

Spouses will be charged the same registration fee.

Please charge Registration Fee for *

1 Participant - Early Registration - $ 1,020
2 Participants - Early Registration - $ 2,040

International Women's Division Day

Are you planning to attend the International Women’s Division Day on 16 April 2018?
Yes

Please note that participation in this event is not included in the World Conference registration package.
Separate registration is required for this event.

For additional information, please contact:
Marcelo Goldin, Director, International Women’s Division, marcelo@khuia.org
Denise Dalva, Administrative Assistant, International Women’s Division, denise@khuia.org

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:
CVV – 3 digits on back of card (For AMEX, 4 digits on front 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!