For further information please contact:

SECRETARIAT
ROUGH DIAMOND Conference
P.O. Box 50006, Tel Aviv 61500, Israel
Tel: 972 3 5140031, 
Fax: 972 3 5140077 or 5175674
E-mail: ktc@kenes.com

Important: Please airmail passport photographs of yourself and accompanying person/s (1 each) so that the entry badges may be prepared in advance. Please write name of person clearly on the back of the photograph/s.
Each participant must complete the registration form (even when hotel accommodations are not required).

Please complete and return this form, together with your payment, to:
Secretariat
Rough Diamond Conference
P.O. Box 50006, Tel-Aviv 61500, Israel
Tel: +972 3 5140014, Fax: +972 3 5140044, 5140077
E- Mail: ktc@kenes.com
Field marked in red  are required.

Registration - Section A
Please complete this section accurately; the information you provide will allow us to correspond with you efficiently and it will also be used for your delegate badge at the Conference.
Participant
Surname
First Name
Title
Mailing Address  
No.
Street
Suite/Apt.
City
State/Province
Postal Code
Country
Telephone: (office hours)
Country code/city code/number
Fax:
Country code/city code/number
E-Mail:
Accommodations- Section B
All requests for accommodations must be accompanied by a deposit for one night's stay at your selected hotel.
Type of room required    Single     Double     Other
Hilton Hotel:
Executive
Business 
Regular
Crowne Plaza
Carlton 
Howard Johnson Shalom
First Choice
Second Choice
Check in date 
Check out date
Total night(s)
*I will share my accommodation with
Tours
  Rate No. of Seats
A Galilee Tour March 24-26, 2000 Single US$ 370
Double US$568
B. Jordan tour  March 24-27, 2000 Single US$ 660
Double US$998
FOR PARTICIPANTS WHO WISH TO JOIN THE JORDAN TOUR, the following information must be clearly submitted in order to facilitate fast border crossing (which might otherwise be time-consuming):
Full name as shown in passport; nationality; date of birth; passport number; passport issue date and expiration date.
It is your responsibility to obtain a Jordanian visa and re-entry visa to Israel before your arrival.
Airport Assistance
Arrival on:   Airline: Flight No:  Time:h.
Please arrange arrival transfer from the airport to Tel Aviv at additional cost of US$ 20 per person
Departure on:   Airline: Flight No:  Time:h.
Please arrange departure transfer from Tel Aviv to the airport at an additional cost of US$ 20 per person
Payment
Please indicate your preferred form of payment.
Your full payment must reach us no later than 2 weeks prior to your arrival
Method of Payment
Option 1:
Credit Card -will be charged US$ 
Visa  MasterCard   Diners 
Number
Expiration Date (month/year)
Name as shown on card:
Surname
First Name
Signature (printed form only) __________________________
Option 2 - Bank Transfer: - with your name and address indicated on the reverse. If payment is made for more than one person or by a company please make sure all names are indicated and send fully completed registration and accommodations forms together with a copy of the bank transfer. Please make drafts payable to: Kenes Tours, and send them to Bank Leumi Le'Israel, Gan Hair Branch, Tel-Aviv, Israel, Account number 654/056272/60. Bank charges are the responsibility of the payee and should be paid at source in
Option 3 - Payment by Cheque, made payable to: KENES TOURS
Enclosed cheque number :
Bank :

Option 4 - Pay in cash in local currency with Western Union Quick Pay. Take your payment to the nearest Western Union location
and complete the blue Quick Pay form with the following information:
Full Name: Payments will not be processed without ones full name and address on the form
Company name: KENES TOURS
Locale/Code City: KENES, IK
Account Number: ROUGH DIAMOND
Name/Department: ACCOMODATION
Western Union will send your payment to us electronically. For the western Union Location nearest to you, consult your local telephone directory.

Date  (printed form only):____________________________

Signature (printed form only)_________________________

By signing this form you authorize Kenes to charge the above credit card for the balance of your account two weeks prior to your arrival for services ordered.

 

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