Conference Registration 2017
Please Note: Registration for the Conference does NOT reserve a room for you in a hotel.
Contact Info
Name
First and Last
Your answer
Email
Your answer
InSpeak nic
optional
Your answer
Congregation
name of congregation that you are affiliated with
Your answer
Street Address
Your answer
City/Town
Your answer
Province/State
Your answer
Postal/Zip
Your answer
Country
Your answer
Phone
(xxx)-xxx-xxxx
Your answer
Participants
Number of couples
Cost: $150 USD per couple (or $180 USD/couple at the door)
Number of individuals
Cost: $100 USD per person (or $125 USD/person at the door)
Number of children
FREE for Children who are under the age of 13
Number of Vendor Tables
Vendor tables are available for $100 USD to those wishing to sell Judaica items such as T-shirts, Books, Music, etc. All items sold must be in agreement with the CTOMC Statement of Faith.
Travel Info
Arrival date
MM
/
DD
/
YYYY
Departure date
MM
/
DD
/
YYYY
Comments
Your answer
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