Conference Registration

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2019 CONFERENCE REGISTRATION FORM

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

Early Bird Registration (postmarked by Oct. 10)

NMJHS & Sister Organizations * Member $ 130. x  ____  =    $ _________________

Nonmember $140.  x  ____  =            $ ________________

Saturday Dinner & Reception only*

$40. x  ____  =                                        $ ________________

 

Registration (postmarked after Oct. 10)

NMJHS member $140. x  ____  =        $ _________________

Nonmember $155 x  ____  =              $ __________________

 

Daily rate:

Daily Rate Member:

Saturday or Sunday Only: Includes only program and coffee breaks: $55.00 X ______ = $___________

Daily Rate Nonmember:  

Saturday or Sunday Only: Includes only program and coffee breaks: $65.00 X ______ = $___________

Student/K-12 Teacher Full Conference (with ID):
Includes only program and coffee breaks:     $45.00 X_______ = $____________

Student/K-12 Teacher Daily rate (with ID):
Saturday or Sunday Only: Includes only program and coffee breaks:  $30.00 X ______ = $___________

(Limited financial assistance available.  Contact the NMJHS office for more details.)

DINNER SELECTION (# of each):

Trout____________ Chicken______________ Vegetarian _________________

Registration Sub-total:                                                              $_________________________

Additional Tax-deductible Contribution                                $_________________________
(Very much appreciated!)

 

TOTAL                                                                                                  $_________________________

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

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