Conference Registration

To download Registration form in a printable/PDF format Click Here.

2017 CONFERENCE REGISTRATION FORM

The full conference registration fee includes all sessions plus meals/coffee breaks/Raffle unless otherwise stated. Please complete the form below and return with checks made payable to: NMJHS

Early Bird Registration (postmarked by Oct. 2)

NMJHS & Sister Organizations * Member $ 120. x  ____  =    $ _________________

Nonmember $140.  x  ____  =            $ ________________

Saturday Dinner & Reception only*

$55. x  ____  =                                        $ ________________

 

Registration (postmarked after Oct. 5)

NMJHS member $140. x  ____  =        $ _________________

Nonmember $160 x  ____  =              $ __________________

 

Daily rate:

Saturday Only, includes only program, and Coffee break/Cookies (1) $50. x____=                   $__________________

Sunday Only, includes program, morning coffee, Coffee/Muffins Break $55.00 x_________=

$__________________

 

Student/K-12 Teacher Full Conference, includes only program, Saturday Coffee Break and Sunday morning muffins and coffee break $40. x_______=                         $___________________

 

DINNER SELECTION:

______ Chicken   ________ Vegetarian

 

PRE- CONFERENCE ACTIVITY TOUR:

Saturday morning Walking Tour: $11x____= $_________

 

Registration Subtotal :                    $ _______________

 

Additional Tax- Deductible Contribution: $ _______________
(Very Much Appreciated!)

Membership: Become a member or renew today!

___ NEW MEMBER ____ MEMBERSHIP RENEWAL

____ Individual $45.00 ____ Household $60.00 ____ Full-time Student $25.00 ___ Library (newsletter only) $20.00 __ Heritage ___Partner$100.00 (including non-profits)_ _ Business Partner $125.00 (4 ads in Newsletter) ____Legacy Partner $200.00 __ Benefactor $500.00 __ Lifetime membership $1,000 (one-time payment)

Participant name(s)
as it/they will appear on nametag(s)

___________________________________________________

___________________________________________________

Address _____________________________________________

City________________________________________________

State _________________     Zip ______________________

Phone (daytime) ___________________________________

Email ___________________________

Payment:

______ Check (preferred)   _______ Visa   __________ MC

Card Number______________________________________

Signature__________________________________________

Exp. date ______________ Security Code _______________

 

QUESTIONS? Please contact NMJHS at 505-348-4471 or e-mail admin@nmjhs.org. Visit NMJHS at our web site at nmjhs.org or on Facebook for conference updates.

            NMJHS is a beneficiary agency of the Jewish Federation of New Mexico