“The Invention of History”
A century of Interplay between Theology & Politics in Palestine”
August 23rd – 29th , 2009 

Registration Form

Name:

Postal Address:

Postal Code: Country:

Tel: Mobile:

Fax:

Email:

Organization / Affiliation:

Note: Book flights to arrive prior to noon on Sunday, Aug. 23rd  .

          I will make my own accommodation arrangements.

                I would like ICB to book my accommodations.

                      Intercontinental: $978 per person in double
                      Intercontinental: $1158 per person in single.
           
                      Grand/ Star Hotel: $678 per person in double
                      Grand/ Star Hotel: $798 per person in single.

Rate includes accommodation on full board for 6 nights from the 23rd till the 29th of August, 2 days bus, and 6 coffee breaks.

     I will make my own arrangements for airport transfers.

      I would like ICB to arrange for airport transfers.

                Pick up $100
                 Return to the airport $ 100

          I’m planning on arriving on @

          I’m planning on departing on @

          Payment enclosed

            Make checks payable to: The International Center of Bethlehem
           

Mail to:

                        Rev. Dr. Mitri Raheb
                        ICB Conference
                        The Evangelical Lutheran Church
                        P.O. Box 14076
                        Jerusalem 91140
                        Israel

Please include a legible photocopy of the picture page in your passport.
(Note: Passports must be valid for six months after your departure date.)

For more information regarding Registration and Reservations Please don’t hesitate to contact Mr. Naim Odeh : nodeh@annadwa.org