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Foreign Visitors Registration Form

Mr. Ms.

Family name:

 

First Name:

Company/ Institute:

 

Position:

Preferred mailing address: Home Institute/Company

Street:

 

City-State:

Country:   Zip code:

Tel:

 

Fax:

E-Mail:      
I intend to visit IMTM 2004 and wish to register for the following:
Evening Event in Jerusalem on February 23, 2004, hosted by the Federation of the Israel Tourism Organization. (Including transportation to Jerusalem and back)
Note: Number of participants in the reception is limited and requires pre-registration
 
Citizenship    
Passport No.    
Valid Till    
IMTM 2004 Opening Ceremony, Tel Aviv Fairgrounds, February 24
IMTM 10TH Anniversary Event, Tel Aviv, February 24
Buyers & Suppliers Service: I request a meeting on
with on

Remarks: