Jewish Federation of Greater Pittsburgh

Jewish Federation of Greater Pittsburgh

GA2023 in Israel
Registration Form
How many people are you registering today?*
Registrant 1
Federation Professional or Lay Leader?*
First and Last Name to Appear on Name Badge*
Name on Passport*

Given Name Middle Name Surname
Date of Birth*

DayMonth Year
Date
Passport Number*
Nationality*
Date of Expiration*

DayMonth Year
Date
A valid passport expiration date must be after October 19, 2023.
Email Address*
example@example.com
Preferred Mailing Address*

Street Address

Street Address Line 2

City State

Zip Code
Mobile Phone*

Area Code Phone Number
Emergency Contact Name*

First Name Last Name
Emergency Contact Mobile*

Area Code Phone Number
All meals are Kosher. Please indicate other dietary requirements.*

NoneCeliacGluten FreeLactose FreeNut AllergyPescatarianVegetarianVegan
Please share any access needs you have to help our team best accommodate your experience on this mission.
Have you already registered and paid for the JFNA General Assembly? If so, your bill will be reduced $700.*

Yes, I have registered and paid the $700 registration fee for the JFNA General Assembly already.No, I have not registered or paid the registration fee for the JFNA General Assembly.
Registrant 2
Federation Professional or Lay Leader?
First and Last Name to Appear on Name Badge
Name on Passport

Given Name Middle Name Surname
Date of Birth

DayMonth Year
Date
Passport Number
Nationality
Date of Expiration

DayMonth Year
Date
A valid passport expiration date must be after October 19, 2023.
Email Address
example@example.com
Preferred Mailing Address

Street Address

Street Address Line 2

City State

Zip Code
Mobile Phone

Area Code Phone Number
Emergency Contact Name

First Name Last Name
Emergency Contact Mobile

Area Code Phone Number
All meals are Kosher. Please indicate other dietary requirements.

NoneCeliacGluten FreeLactose FreeNut AllergyPescatarianVegetarianVegan
Please share any access needs you have to help our team best accommodate your experience on this mission.
Have you already registered and paid for the JFNA General Assembly? If so, your bill will be reduced $700.

Yes, I have registered and paid the $700 registration fee for the JFNA General Assembly already.No, I have not registered or paid the registration fee for the JFNA General Assembly.
Price Options

(Including land-tour portion and JFNA General Assembly)
Room Configuration(s) Requested (check all that apply)*

Single Occupancy: $5,999 per personDouble Occupancy (Twin Beds): $4,499 per personDouble Occupancy (King Bed): $4,499 per personSingle Occupancy with Tel Aviv Club Room Upgrade: $6,499 per personDouble Occupancy with Tel Aviv Club Room Upgrade (Twin Beds): $4,799 per personDouble Occupancy with Tel Aviv Club Room Upgrade (King Bed): $4,799 per person
Note: Per above, if you already registered and paid for the JFNA General Assembly, $700 will be deducted from your final invoice.
Are you interested in pre- and/or post-mission accommodations?

Yes, please reach out to me with more information.No, I am not interested.
Acknowledgements
I acknowledge that my photo and video may be taken on this mission and may appear in JFNA or local Federation materials, website, and social media.
Acknowledgement*

I hereby acknowledge the above
Due to the ongoing nature of the COVID-19 pandemic, please review and agree to the following:
Terms and Conditions*

I hereby agree to these terms and conditions
Payments & Cancellations
Payment Details:
- To secure your spot on the mission, a per person deposit of $1,200 is due.
- $540 of the $1,200 deposit is non-refundable after February 10, 2023.
- Full payment is due by Wednesday, March 1, 2023.
Cancellation Policy:
- Cancel on or before March 17, 2023: Receive a 50% refund, less $540.
- Cancel after March 27, 2023: No refund.
To pay your deposit, please click here.

To submit your registration form, please click the submit button immediately below.
Thank you!!!

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Registration Form

Price Options

Acknowledgements

Payments & Cancellations