Conference Registration Form (Mail or Fax this form, see below.)
IS IT 1938 AGAIN?
A Major Conference on the State of World Jewry
Seats are limited. Early registration is suggested.
Registration Deadline : Thursday, April 19 at 5p.m.

NAME(S)____________________________________________________________________________________

ADDRESS___________________________________________________________________________________

CITY, STATE, ZIP___________________________________________________________________________

PHONE (day)_______________________(evening)_____________________________________________

Email________________________________________________________________________________________       

Please register me/us:
Full 2-Day Conference …____@ $35 each
Includes free kosher box lunch each day.

Sunday Only…………… ____@ $20 each
Includes free kosher box lunch.

 Monday Only……………____@ $20 each
Includes free kosher box lunch.

FREE CUNY Student Registration (check one or both) …....... Sunday..........Monday
Includes free kosher box lunch each day.
 (Student registration is FREE. Must show valid CUNY Student I.D. at door.)

I wish to make a tax-deductible donation of $________  in support of this Conference.

TOTAL AMOUNT ENCLOSED   $____________

Payment by Check:
Enclosed is a check for $__________ Make checks payable to Center for Jewish Studies.

Payment by Credit Card (accepted for Pre-Registration only).
Charge $___________ to my  _____MasterCard   ______ Visa.

NAME ON CARD________________________________________________

CARD #_____________________________________Exp. Date___________

SIGNATURE____________________________________________________

TO REGISTER: MAIL this form with your check or credit card info to
CENTER FOR JEWISH STUDIES at QUEENS COLLEGE
65-30 KISSENA BLVD , FLUSHING, NY 11367
FAX form with info to: 718 997-4532 or CALL 718 997-5730 (Mon-Fri. 9 a.m.-5p.m.).
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