First International Academic Conference

Israeli-Palestinian Conference:  Pathways to Peace

Conference Registration Form

To register for the conference, please complete all fields and click on the "Submit" button at the very bottom of this page.

First Name
Middle Initial   (optional)
Last Name
Street Address
City
State  
Zip/Postal Code
Country
Email Address
Date of Birth  Month/ Day/Year.
US Citizen

 Yes    No

FEE INFORMATION:

Registration fee includes: a continental breakfast on Friday, lunch on Friday & Saturday, and conference materials.

 Conference Fees (select one):         

              General Registration $250.00

           

              Graduate student (student ID will be required on day of conference at registration desk). $50.00

    CCSU Faculty or Student  (ID will be required)  $35.00

              Sponsor Organizations full conference (Brit Tzedek, Meretz USA or ATFP, on pre-approved list) $125.00

 

              Sponsor Organizations one day only (Brit Tzedek, Meretz USA or ATFP, on pre-approved list) $75.00

 

Please inform us of any religious restrictions (Kosher or Halal foods, or Sabbath observance).

 

Once you have submitted this form, your registration will be processed and you will receive an email confirmation.
This confirmation will include the amount due, and directions to a special secure website where you can pay by MasterCard, VISA, Discover Card or electronic check.