Attendee Application

The 5th Annual Jewish Organizational Expo

& Fundraising Conference,

At the

Kings Terrace

Brooklyn, New York

Please make reservations for the

 [  ] 4th Annual Jewish Fundraising Conference.  $ 150.00

                                           *Pre Registration  - $ 125.00 

 [   ]       Expo Floor Pass Only $ 25.00

(Please copy form for additional members of your group)

Organization _________________________________________________________

Attendee Name_____________________________________________________________

Address ____________________________________________________________________

City ___________________________State _________________Zip____________________

Telephone ___________________________ Fax __________________________________

Email ______________________________ Website ________________________________

[  ] Check Payable to ShaulE Events & marketing    [  ] Cash

[  ] Credit Card   Visa________ Master Card __________

Number ________________________________________________Exp. __________

Signature ___________________________________________________________________

Fax completed form to 1- 718 – 633 – 5647

Or mail to ShaulE Events

All reservations must be accompanied by full payment