Register & Pay

Submit your registration now!

Register Here

*Please NoteThe dates of the event are Thursday 7th June 2018 (from 07:30AM in HCMC) until Tuesday 12th June 2018 (at 3:30pm in Hanoi). Some participants are extending their stay by flying out to Laos on the evening of Tuesday 12th June until Thursday 14th June and if you are interested in this please email info@jep.eu

 





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 Rates – Package with our sponsors discount subsidy

Actual Cost Rates – Package without any subsidy

Book extra night?
 Wednesday Tuesday

What is your passport number, passport date of expiration, passport nationality, your first and last name in the passport and date of birth?*

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 double 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 ‘JEP Vietnam 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

Processing fees for using Paypal are added so Paypal prices are slightly higher than the listed price at registration.


Event Packages




Domestic Flight / Extra Options



 

Credit Card

Please fax in the following details to 003222801435 or e-mail it to info@jep.eu . Make sure to write ‘JEP Cyprus and your full name’ on the fax or e-mail. Please note that only VISA and MASTERCARD are accepted. Use Paypal for AMEX.

€25 processing fee will be added to the total per person for a double room package + flight and €38 in a single room package + flight. Local packages will be charged in Euros and a small appropriate fee will be added to cover the card fee charged.

  • Name on card
  • Card number
  • Expiration date
  • Amount to be charged (incl. processing fee)