WRJ Mid-Atlantic District 63

Convention

FINDING YOUR SACRED SPACE

October 15 – 17, 2010Crowne Plaza, Tysons Corner – McLean, Virginia

Convention opens Friday at 9 AM, closes Sunday at 2 PM

Convention Registration Form

A separate registration is required for each attendee. Please print this form and keep a copy for your files

ATTENDEE INFORMATION

First Name: ___________ Last Name: __________________ Name on Badge:______________________ Street Address___________________________ City/State/ Zip__________________________________ Phone:___________________________________ E-Mail______________________________________ Sisterhood_______________________________ Sisterhood City/State_________________________________ Position with Sisterhood____________________ Position with District_________________________________ Position with WRJ________________________ Visiting/Non-affiliated Sisterhood_______________________

REGISTRATION INFORMATIONRegister prior to 9/15 and receive a free Mid-Atlantic District T-shirt;

full refund up to 10/l No refund after 10/1

RegistrationType ____ Include s _____________ Check Amount

FULL

Reg. fee,

all

sessions, hospitality suite; Friday: Circle of ServiceLunch, Shabbat dinner; Saturday: Shabbat lunch, Havdallahinstallation, banquet, entertainment, Sunday: brunch

85.00

DAILY

(

check all that apply

)______________________________________________________________________

Friday only Reg. fee, all sessions; Circle of Service Lunch, Shabbat dinner_______

_ $110.00Circle of Service Lunch only____________________________________ $ 40.00Shabbat dinner only__________

________________________ $ 50.00Saturday only

_ Reg. fee., all sessions, hospitality suite, Shabbat lunch, Havdallah, banquet, entertainment $125.00Lunch only_______________ $ 40.00Banquet only with Havdallah, installation, entertainment________________ $ 75.00Friday/ Saturday only All of the above $225.00Sunday Reg., all sessions, brunch and closing $ 55.00Brunch only $ 40.00Saturday/Sunday Reg., all sessions, lunch, Havdallah, banquet, brunch_________ _________________ _$170.00

GUEST(S)

Shabbat dinner Number attending_@ $50________________________________

Put guests name(s) & dietary

Banquet Number attending_@ $75_______________________________

Needs on back of form ______________________________________________________________________________________________________________________________________

**THURSDAY ___ To start at 6:30 PM: Training/Orientation: 2010-2012 Board Officers,Area Directors, Committee Chairs ONLY (Includes dinner ) $ 40.00TOTAL ENCLOSED

______________________________________________________________ $______ Dietary restrictions_________________________________We will try to accommodate your needs.Please check here: _____ This is my first WRJ Mid-Atlantic Convention