Interview Room Request Form

AJS 40th Annual Conference
December 21-23, 2008• Washington D.C.
Grand Hyatt Washington

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_________________________________

Field(s) of Interest___________________________________________________

Mailing Address_____________________________________________________

Street Apt./P.O. Box_________________________________________________

City State/Province Zip/Postal Code______________________________________

Country __________________________ E-mail __________________________

Telephone (Office)______________________ (Home)_______________________

Telephone (Mobile)_____________________ Fax__________________________

Please reserve an interview room for my institution according to the terms specified below.

In order of preference I request the following dates and times (See available times):

1 _________ at _________
2 _________ at _________
3 _________ at _________
4 _________ at _________
5 _________ at _________
6 _________ at _________
7 _________ at _________
8 _________ at _________
9 _________ at _________
10 ________ at _________
11 ________ at _________
12 ________ at _________
13 ________ at _________
14 ________ at _________
15 ________ at _________
16 ________ at _________
17 ________ at _________
18 ________ at _________
19 ________ at _________
20 ________ at _________

Signed: ________________________________