| mr / mrs / ms: |
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| surname: |
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| first name: |
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| mailing address: |
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| email: |
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| city: |
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| country: |
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| zip code: |
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tel: |
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cell phone: |
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male
female
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| date of birth: |
/
/
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| for security reasons
please inform us which jewish community or synagogue you attend:
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| ACCOMODATION AND PRICES |
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I would like to share a room with:
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| 13.-16. July 2006: |
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double room € 325,- |
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single room € 400,- |
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(payment before June 16th 2006) |
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double room € 375,- |
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single room € 450,- |
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(payment as from June 17th 2006) |
| 14.-16. July 2006: |
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double room € 225,- |
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single room € 300,- |
| |
(payment before June 16th 2006) |
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double room € 275,- |
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single room € 350,- |
| |
(payment as from June 17th 2006) |
| prices with no room accomodations: |
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thursday, to Sunday (July 13th-16th) (€ 195,-) |
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friday, to Sunday (July 14th-16th) (€ 150,-) |
| saturday night party: |
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advance sell € 25,- |
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box office € 30,- |
Remarks:
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| PAYMENT |
| credit card: |
| we accept Visa, MasterCard and American Express. |
credit card: |
VISA
MasterCard
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card number: |
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valid until: |
/
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name on card: |
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EC-card: |
acct. no.:
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bank code:
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| Full payment of the registration fee is required
in advance to confirm your reservation. Please send a cheque or bank
transfer in Euro (to reduce the bank charges incurred): Rates do not
include transportation or transfers. |
Gady Gronich, Gentz str. 4, D-80796 Munich,
Germany
Münchner bank , acct. no. 283 541, bank code 701 900 00 , IBAN:
DE24 7019 0000 0000 2835 41 swiftcode: GENODEF1MO1,
reference “different in berlin” |
cancellations:
In case of cancellation prior to JUNE 16TH, 2006 there will be no
cancellation fee, after that date we will charge 100% cancellation fee. |
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