You are on page 1of 2

WRJ Atlantic District Convention

Journey To A Healthy Mind, Body & Soul


October 23 26, 2014 King of Prussia, PA
Name: ______________________________________________________________________________ Address:________________________________ City, State, Zip: ________________________________ Phone: Email:

Sisterhood: _________________________ City & State of Sisterhood location:____________________


Full Convention Thursday afternoon-Sunday Afternoon Includes: Workshops, Speakers, meals for all three days 3:00pm Thursday 1:00pm Sunday Friday through Sunday Includes: Workshops, Shabbat Dinner, Breakfast, Tikkun Olam Award and Woman of Valor Luncheon, Installation Dinner and Sunday Brunch Saturday Includes: Workshops, Tikkun Olam Award and Woman of Valor Luncheon and Installation Dinner Saturday Tikkun Olam Award and Woman of Valor Luncheon only Saturday Installation Dinner only Hotel costs are not included in above rates TOTAL $136.00 $45.00 $75.00 $154.00 $54.00 $84.00 $280.00 $298.00 Pay by 9/15/14 $318.00 Pay after 9/15/14 $336.00

Please check this box if this is your first convention Please check this box if you are interested in being in a district choir?
You will be entered in a raffle for a desktop scanner - $400 Value Eligible if payment is received before 9/15/14

Meals will be private Kosher Style Buffets


Please note any food allergies or special needs

Saturday night's installation dinner requires preselection please check one

Chicken Fish Vegetarian

PLEASE MAKE CHECK PAYABLE TO: WRJ ATLANTIC DISTRICT Complete both pages of the registration form and mail no later than October 9, 2014

WRJ Atlantic District Convention


Journey To A Healthy Mind, Body & Soul
October 23 26, 2014 King of Prussia, PA
Hotel Accommodations:
Crowne Plaza Valley Forge, 260 Mall Boulevard King of Prussia, PA 19406 (Hotel cost is not included in the price of the conference registration) Phone: 610-265-7500 for reservations, for our discounted rate, use the booking code: WRJ To book on-line use the link below, enter WRJ booking code Women of Reform Judaism Atlantic District Convention Room Rates: $119.00 per night for King plus tax or $119.00 per night for Double plus tax Please make your reservation as soon as possible! Rate & reserved block of rooms will be held until September 20, 2014 Standard Check-in/Check-out Check-in: 3:00PM Check-out: 12:00 PM

WRJ Atlantic District 2014 Convention Refund Policy Refund requests for full event registration or partial event registration, less a $50 processing fee, will be honored if request is received at least 7 business days prior to the event start date. There will be no refunds given for cancellation requests received after the cut-off date but registration may be transferred to another person who has not yet registered. Refunds will only be honored if received in writing (email is acceptable). No refund request may be made by telephone. Request should be directed to the event registrar semirbach@gmail.com. Refunds will be sent after the convention concludes. WRJ Atlantic Photo & Information Release I understand that photographs and electronic images of me may be taken during the convention and that a list of convention attendees names, sisterhoods and contact information (including but not limited to: phone number, email address, etc.) will be shared with convention participants. Images may also be used in projected or printed format, or shared electronically. I agree to the above and sign this release:

Name: _______________________________________

(print)

Date: __________________

Name:_________________________________________ (signature) Complete both pages of registration form by October 9, 2014. Make checks payable to WRJ Atlantic District Send to: Ellen Mirbach, 3308 Sherwood Lane, Dresher, PA 19025 Copy this registration form for your personal records. CONVENTION PROGRAM DETAILS WILL BE EMAILED

You might also like