Interview Room Request Form

AJS 42nd Annual Conference
December 19-21, 2010 • Boston
The Westin Copley Place

Print and mail with your check to:
Association for Jewish Studies
15 West 16th St
New York, NY 10011
Attn.: Interview Room Request

Name ____________________________________________________________

Position __________________Institution________________________________

Mailing Address_____________________________________________________

Street Apt./P.O. Box_________________________________________________

City State/Province Zip/Postal Code____________________________________

Country __________________________ E-mail __________________________

Telephone ________________________ Fax_____________________________

Name and email address of person in charge
of interviews on-site, if different from above: ______________________________

In order of preference I request the following dates and times:

Signed: ________________________________