Maharal Conference TWO Participants Registration

First Name:

Last Name:

Middle Name:

E-mail Address:

Your Personal Details

Date of Birth:

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Place of Birth:

Citizenship:

Passport No.:

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The total cost of attending the conference for DOUBLE PARTICIPANT is 320 (270+50) Euros, which includes accommodation, kosher food throughout the conference, a tour of the Jewish Museum in Prague, a visit to the Maharal exhibition at Prague Castle, the ceremonial opening and the gala reception.

I Agree to the Terms

Your Partner Personal Details

Fisrt Name:

Last Name:

Middle Name:

Date of Birth:

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Place of Birth:

Citizenship:

Passport No.:

Permanent Address:

E-mail Address:

Phone Number:

Mobile Number:

Website:

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