Iranian American Jewish Federation

  YES! I would like to attend the AIPAC Policy Conference 2017.

  I am unable to attend, but wish to make a contribution in support of IAJF'S PROGRAMS.
CONTRIBUTIONS ARE FULLY TAX-DEDUCTABLE. FOR CONTRIBUTIONS ABOVE $5,000, PLEASE CONTACT THE IAJF OFFICE.

  MAKE YOUR PURCHASE All Fields with * are Required

March 4-6, 2018
Washington, D.C. Convention Center

Registration Includes:
Ticket to the 2018 AIPAC Policy Conference at the Washington DC Convention Center ($599 Value)
Room at the Capital Hilton Washington DC (3 to 4 People Per Room Max)
Round-Trip Private Bus Transportation to DC
* Please note that any hotel charges beyond standard room fees must be paid by the participant

Early bird all-inclusive price of $599 per person (Price increases to $649 on February 16th)
** FLASH SALE: ONLY $499 EACH FOR THE FIRST 40 TICKETS SOLD! **

*This program is for young professionals ages 18-36 from the tri-state area
*Offer is exclusive to IAJF Young Leadership Division and MYC Members
*Photo ID required

For sponsorship opportunities and for more information please contact the IAJF office.

I Would Like To Purchase*

Regular Admission:

  PLEASE LIST THE NAMES OF ALL WHO ARE ATTENDING INCLUDING YOURSELF

* Names of all guests are required.
* You may include emails of your guests and we will send them confirmation of your purchase.

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

Birth Date:   First Name:   Last Name:   Email:

  ENTER CREDIT CARD INFORMATION

Card Type*:

Card Number*:

Expiration Date*:   /

CVV Code*:

This is not your PIN number. You'll find this number displayed on your credit card in the location described below:

American Express: On the front of the card. Enter the four-digit number on the right directly above the credit card number. On the Optima card, look on the left directly above the credit card number.

Visa and MasterCard: On the back of the card in the top-right corner of the signature box. Enter the three-digit number following the credit card number.

  ENTER REGISTRATION INFORMATION

Title*:

First Name*:

Last Name*:

Company:

Address*:

City*:

State*:

Zip Code*:

Home Phone*:

Work Phone:

Cell Phone:

Email*:

Synagogue Affiliation (if any):

I Am a Member Of:

Comments & Roommate Requests:

* We will do our best to accommodate, however Roommate preference is not guaranteed and is subject to availability. Roommates are limited to 3 or 4 per room.

No portion of the purchase price is tax deductible or considered a charitable contribution for tax purposes.

For additional information and questions, please contact tova@iajfny.org or call (516)466-8947

IAJF is a tax-exempt non-profit organization under section 501 (c)(3) of the Internal Revenue Code.
Contributions are tax deductible to the extent permitted by law.

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