Registration Form for

Third International Congress

of the

World Society of Mixed Jurisdiction Jurists

METHODOLOGY AND INNOVATION IN MIXED LEGAL SYSTEMS

20 -23 June 2011

at the Hebrew University of Jerusalem, Israel

Please note: registration and payment for the conference and registration and payment for accommodation are separate.

Name:

Professional Affiliation:

Home address:

Work address:

E-mail address:

Telephone numbers:

Are you attending as a speaker or as a general participant?

Are you booking a hotel room via Kenes on the Hotel Reservation Attachment?

You may register by e-mail. If you prefer not to send credit card information by e-mail, you may register by mail or by fax.

E-mail address:

Mailing address: Ms Tali Algazy, Conference Co-ordinator, Law Faculty,

The Hebrew University of Jerusalem,

Mount Scopus, Jerusalem 91905, Israel

Fax number: 972-2-5823042

To register by e-mail, fill in the forms on-line, save (or print, fill out and scan) and send as an attachment.

Your registration must be accompanied by payment of registration fees:

For general participants: $300 U.S. (till 28 February 2011)

$350 U.S. (from 1 March 2011)

For speakers at the conference - $100 U.S.

Registration fees can be paid by the following methods:

1. By Credit Card:

AMEX DINERS MASTERCARD VISA

Card No:

Exp. Date:
Please write the three or four digit number that appears on the back of the card:

Name of owner of card as it appears on the card:

Billing Address:

Signature:
By signing this form you authorize The Law Faculty of the Hebrew University of Jerusalem to charge the above credit card for registration for the WSMJJ conference


2. By Bank Transfer:
Please make drafts payable in US dollars to:

WSMJJ Conference

The Law Faculty, The Hebrew University of Jerusalem

Bank Hapoalim, (Bank No. 12)

Branch No. 436

Account No. 506076

IBAN IL65-0124-3600-0000-0506-076


Important: All bank charges are the responsibility of the participant and should be paid at source.

Please attach confirmation of bank transfer, with your name, address and reference number of transfer, to your registration form.


3. By Cheque:

Unfortunately, we can only accept cheques in the following currencies: US dollars, Pounds Sterling, and Euros. The cheque should be made out to:

The Law Faculty, The Hebrew University of Jerusalem

Confirmation

As soon as the registration form and payment have been received, written confirmation of your registration will be sent by e-mail. For queries regarding registration please write to Ms Tali Algazy,

Cancellation policy

Fees must be paid in full before the conference begins. Cancellations received in writing by 31 May 2011 will incur a 20% administrative fee. After this date, fees will not normally be refunded.

The Hebrew University reserves the right to cancel the conference, in which case all fees will be fully refunded. In the event of cancellation, the Hebrew University will not be liable for travel and accommodation costs incurred by participants.

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