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Individual Registration

Please enter information in the form below to register for event Simcha 2017.

Coupon (Office use only)
First name*
Last Name*
Address*
City*
Country*
State*
Post Code*
Phone*
Email*
Age*
Gender*
Male Female  

Select Your Ticket

If attending Simcha over All 3 days (2 nights), select a Full Time Ticket (which includes all meals & snacks).
Note: If you prefer to book accomodation off site, you need to select an "Off Site" ticket from the dropdown menu
Full Time Ticket

If attending Simcha over 2 days (1 night), select a Part Time Ticket, (which includes all meals and snacks).
Note: Only Cabin Style Accomodation is available for this option
Part Time Ticket

If attending Simcha for 1 day only you need to select a Day Visitor Ticket.
Note: meals & snacks are optional for this ticket type
Day Visitor Ticket

Which days of Simcha will you attend?*
Friday Saturday Sunday  

Accommodation Styles:
  • Cabin: 2x sets of bunks, 2x single beds & ensuite (BYO bedding & towels)
  • Motel: 5x single beds & ensuite (INC bedding & towels)
  • Off Site: Arrange own accomodation

Accommodation Options

If you have selected a ticket which includes On Site Accommodation (Cabin or Motel) fill in this section. If you are staying Off Site or are a Day Visitor, please ignore.

Please list the name(s) of people you wish to share a room with (max 6):
Note: If booking as a group of 3 or more, you will automatically be together and you can leave this section blank

Note: Youth under 17 years will share with their family
Room Mate(s)

If you want an exclusive room (for 2 or less people) there is an additional surcharge (per room). If booking as a couple, only select this option once.
Exclusive Accommodation

If you require a queen bed (for married couples and people with special needs only)
Queen Bed Required?

Special Requirements

Please list any dietary, accommodation or other special requirements you have:
Dietary Requirements
Accommodation Requirements
Other Requirements

Transport

If you would like a lift on our bus please select a bus ticket and pickup location:
Bus Ticket*
Bus Pickup Point
206 Bambra Rd, Caulfield South (BH) Melbourne Airport  

Bus Departure Times:
  • Caulfield South (BH) - 12:30pm, Friday
  • Melbourne Airport - 2:00pm, Friday
  • Phillip Island - 2:30pm, Sunday
Note: Detailed pickup information will be sent in confirmation email

Payment

Payment Method * Paypal
Offline Payment
Comment
 

Up-coming events

Simcha 2017
24-11-2017 12:00 PM
Israel's 70th Birthday Tour & Conference
05-07-2018 12:00 PM

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