The AIPAC National Summit 2007
AIPAC National Summit 2010 | Registration Form
October 24-25, 2010 • South Florida
The AIPAC National Summit is reserved exclusively for those who contribute a minimum of $3,600 annually to AIPAC.


Part 1: Registrant Information

AIPAC National Summit Registration Fee: $195.00

REGISTRANT INFORMATION
First Name »
Last Name »
Address »
City »
State »
Zip »
Home Phone »
Business Phone »
Cell Phone »
E-mail »
Yes, I will be attending the AIPAC Senate Club Dinner on Saturday, October 23, 2010.
(Senate Club members contribute $10,000 or
more annually to AIPAC.)


Part 2. Discount Code:
Discount Code - if you have been issued a discount code, please enter it here:

Part 3. Additional Registrants

If you would like to register a spouse or guest, please click the
button below.

Check to keep same address

Part 4. Payment

Your registration will not be complete until you have checked out and paid with a Visa, MasterCard, American Express or Discover Card on our secure server.
Printable Version

To view a printable version of this form, please click here.
Hotel Arrangements

Delegates are responsible for reserving their own hotel rooms. For hotel reservations, please call The Westin Diplomat directly at 1-888-627-9057 or visit the hotel on-line at www.aipac.org/summithotel. Reservations must be made by October 1, 2010 to get the special AIPAC rate.

Questions or Assistance

For questions or assistance regarding the AIPAC National Summit in South Florida, please contact our National Events Department at 202-639-5363 or summit@aipac.org.
Refunds/Cancellations

Cancellations must be made in writing, addressed to National Events at AIPAC or to summit@aipac.org and received by October 1, 2010, for a full refund, subject to a $5.00 processing fee. Since AIPAC has to guarantee - and therefore pay - for each delegate's participation at that time, cancellations after October 1, 2010, will not be refunded.
Privacy Policy

AIPAC does not buy, sell, rent or otherwise distribute our donors' or members' e-mail addresses.

For more information, please refer to our full privacy policy.
The American Israel Public Affairs Committee | www.aipac.org