Mr / Mrs / Ms:
Surname:
First Name:
Mailing Address:
City:
Zip Code:
Country:
Email:
Tel:
Fax:
Cell Phone:
male female
Date of Birth:

 

ACCOMODATION 

The registration fees below include four nights’ hotel accommodation (Wednesday to Sunday) meals (dinner), excursions and parties.
N.B. Meals will be fish and vegetarian. Kosher will be serve only Friday evening.

The program will begin on Wednesday evening and ends Sunday midday.

Single Room € 650,-
Double Room € 450,- (per person)
I would like to share a room with:
Remarks:
PAYMENT
CREDIT CARD
We accept Visa, MasterCard and AmericanExpress
Credit Card:
 VISA MasterCard AmericanExpress
Card Number:
Valid until:
 /
Name on Card:
BANK TRANSFER
Gady Gronich, Isartalstr. 34, D-80469 Munich, Germany
Postbank Munich, IBAN: DE77 7001 0080 0080 4248 04, swiftcode: PBNKDEFF, reference "Yachad Malaga 04”


To ensure a place, please fax or Email the registration form to Gady Gronich at the number given below. If you require further information, contact Gady in Munich. In English, German or Ivrit.

Cancellations:
In case of cancellation prior to Feb. 28th, 2005 there will be no cancellation fee, after that date we will charge 100% cancellation fee.
I hereby authorize you to charge my credit card as stipulated above.
I have read and accepted the Terms & Conditions. No refunds possible
  
You can also download the Registration Form and Fax it to:
Gady Gronich Fax Nr. + 49 89 444 54 355
Registration Form