Register And Pay

Register Here

*** ONLY 1 FEMALE TWIN PLACE LEFT – WILL BE SOLD ON FIRST COME FIRST SERVED BASIS!***

*Please Note - The dates of the main event are Wednesday 29th May 2019 (from 09:00am) until Tuesday 4th June (after breakfast). There is an option to extend the trip until Thursday 6th June which we will email you information about once you are registered and paid (so confirmed) as an event participant.

 Please submit the registration form and then wait for the JEP office to confirm your registration by email before submitting the payment.





First Name*

Last Name*

Email*

Date of Birth*

Mobile Phone*

Current Address of Residence*

Current City of Residence*

Current ZIP Code*

Current Country of Residence*

Country of Birth*

Gender*
 Male Female

Subsidised Cost Options – Package with our sponsors discount subsidy

Actual Cost / Local Options – Package without any subsidy

Book extra night before or after the event?
 Wednesday Sunday Others

Would you like to sponsor another less fortunate participant or donate 10 Euros towards security?*
 Yes No

If yes, how much?

Are You Jewish?*
 Yes No

Who was born Jewish?*
 Mother Father Both Neither

Current Religious Orientation?*

What’s your occupation*

Would you be willing to relocate for marriage?
 Yes No

How did you hear about us?
 JEP Newsletter or e-mail ECJS Newsletter or e-mail Facebook Local Student Organization JEP Representative Friends

If JEP Representative, who?

Do you have any food restrictions (e.g. Vegetarian but eat fish, Vegetarian but don’t eat fish, Vegan, Lactose Free)?

Roommate preference for twin room package (same gender only):

If you have never been to an ECJS or JEP event, for security purposes, please provide the name and contact information of a Rabbi, Student Organization, Community Leader, friend, etc. that has known you for at least three years.

Organization Name

Contact Person

Email

Position

Telephone

Comments

I hereby acknowledge and agree to the Terms and conditions of JEP

 

Payment Options

Please only pay after you have completed the event registration form.

Bank transfer

Participant responsible for bank fees. Be sure to write ‘ECJS & JEP Brazil and Your Full Name’ on the transfer. Please also email us a copy of the transfer receipt ticket as we may not see the money in our bank account for 5-7 working days.

  • Account name: ECJS
  • Account Number: 363-1624975-71
  • IBAN: BE 49 3631 6249 7571
  • BIC: BBRUBEBB
  • Bank: ING
  • Branch: Schuman
  • Address: Rond Point R Schuman 8, 1040 Bruxelles, BELGIUM

 

Paypal

Small processing fees / charges are added for using the Paypal system. YOU MUST pay an event package + the mandatory domestic flight between Rio de Janeiro and Iguacu Falls.


Event Packages and Extras



Credit Card

We now have a new system for charging cards called VivaWallet.

Please fax in the following details to 003222304372 or e-mail it to info@ecjs.org. Make sure to write ‘ECJS & JEP Brazil and your full name’ on the fax or e-mail. Please note that only VISA / MASTERCARD or BANK CARDS are accepted. Use Paypal for AMEX. 

NOTE: There will be a 2% charge on all cards which we process as this is the VivaWallet 3rd Party fee.

Details to send us to process:

  • Your email address
  • Amount you want to pay us (including 2% fee).

Please then keep an eye out for our VivaWallet email inviting you to make the payment as we will send you an email through the system to invite you to make the payment (check SPAM if you do not receive it in 1-2 working days).

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