Conference Registration

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

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. 14)

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

Nonmember $140.  x  ____  =            $ ________________

Saturday Dinner & Reception only*

$62. x  ____  =                                        $ ________________

 

Registration (postmarked after Oct. 15)

NMJHS member $140. x  ____  =        $ _________________

Nonmember $160 x  ____  =              $ __________________

 

Daily rate:

Saturday Only, includes only program, and Coffee break (1) $55. x____=                   $__________________

Sunday Only, includes program, morning coffee & muffins and Coffee Break $55.00 x_________=

$__________________

 

Student/K-12 Teacher Full Conference, includes only program, Saturday Coffee Break and Sunday morning muffins and coffee break $50. x_______=                         $___________________

 

DINNER SELECTION:

______ Chicken   ________ Vegetarian

 

PRE- CONFERENCE ACTIVITIY AND TOUR:

Friday night Community Dinner at Temple Beth Shalom: $21x____= $_________

 

Registration Subtotal :                    $ _______________

 

NMJHS Conference Sponsorship Donation

 

Name:___________________________________________________________

Address:_________________________________________________________

City, State, and Zip Code:___________________________________________

Telephone:_________________ E-Mail:________________________________

Contribution:

____________ $100.00 Session Supporter/Sponsor

____________$200.00 General Supporter/Sponsor

____________$250.00 Keynote Supporter/Sponsor

 

In Honor of: ________________________________________________________

In Memory of:_______________________________________________________

 

On behalf of the NMJHS Board of Directors, we thank you for your generous support which will allow us to continue to write the next 30 Years of New Mexico Jewish History!

Sponsors will be sent a tax deduction receipt for their contribution.

 

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 _______________

 

Make checks payable to: NMJHS

Send this form with payment to:

NMJHS Conference, Attn: Anne McCormick
5520 Wyoming Blvd NE, Suite B
Albuquerque, NM 87109
New Mexico Jewish Historical Society
Tel: 505-348-4471
www.nmjhs.org
admin@nmjhs.org

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