Online Event Registration

RSVP form for “FIRST ANNUAL MEETING OF THE REORGANIZED GOMBIN SOCIETY”

REGISTER EARLY; meeting space limited to only 45 people.
Bring Gombiner friends and relatives, especially younger generation.

First Annual Meeting

First Name *

Last Name *

Email *

Phone # *

Street Address *

City *

State *

Zip *

Payment Method *

Credit/Debit Card or PayPal

Mail a Check

Event Fee *

$100/person covers morning coffee, lunch (Kosher), meeting logistics.

$36/additional family members and younger Gombiners under the age of 40

Upon Submission of this Registration form, your browser will redirect you to PayPal, where you can pay with a Credit/Debit Card or a PayPal account.

Event Fee Options

Upon Submission of this Registration form, please enclose your Personal Check or Money Order to:

Marlene Rifkin
953 W. Carrillo Street
Santa Barbara, CA 93101

Hotel space is available at “The Belleclaire.” Special rate for GS meeting attendees available until October 31.
Book online with the Gombin Society group discount rate.
www.hotelbelleclaire.com
2175 Broadway, New York, NY 10024
Phone: (212) 362-7700