Jordan 2017 Registration Form Jordan 2017 Registration Professional Title*(M.D., D.O., PharmD,...)First Name*Last Name*Address*Address (cont.)City*State*ZIP Code*CountryWork Phone*Home PhoneMobile Phone*FaxEmail* Jordan RegistrationMembers and Non Members Includes Welcome Reception Scientific Sessions, CME certificate and discounted group rates for the social activities and events of the conference. also includes coffee breaks, refreshments, and snacks Guest/Spouse/Children Includes Reception, Coffee Break refreshments, and snacks, half day Amman tour and dinner, and discounted group rates for the social activities and events of the conference. Local physicians includes Reception, Coffee Break, Scientific Sessions, CME certificate and discounted group rates for the social activities and events of the conference RegistrationMemberNone1 MemberNon-MemberNone1 MemberGuest/SpouseNone1 Guest2 Guest3 GuestChildren under 12None1 Child2 Children3 Children4 Children5 ChildrenLocal Physician from Jordan/PalestineNone1 Local PhysicianGala NightAdditional Gala Night Ticket Price: $150.00 Quantity: Social ProgramsTour to Madaba, Nebo, Baptism SiteNone1 Person2 People3 People4 People5 PeoplePrice: including entrance fees, Private A/C Modern tourism bus, Tourism English Speaking Guide and Dinner. $115 per/person The trip south from Amman along the 5,000 - year old King's Highway is one of the most memorable journeys in the Jordan passing through a string of ancient sites. The first city you come upon is Madaba " the City of Mosaics. Madaba's chief attraction is the contemporary Greek Orthodox Church of St. George. The church contains sixth century Byzantine mosaic map showing Jerusalem and other Holy Sites Ten minutes to the west is the most revered site in Jordan: Mount Nebo, the memorial of Moses, the presumed site of the prophet's death and burial place. The Byzantines built a small square church on the spot. BAPTISM SITE: "Bethany beyond the Jordan" has been discovered in the south Jordan Valley. Some 2000 years ago, John the Baptist lived and baptized in a settlement called "Bethany Beyond the Jordan" (John 1:28). This important site of early Christianity, which Jesus also visited, has been rediscovered in Jordan, about 1500 meters east of the Jordan River. It has been carefully excavated by international archeologists in preparation for receiving pilgrims and visitors. Half Day Amman Tour 1None1 Person2 People3 People4 People5 PeoplePrice including entrance fees, private A/C modern tourism bus, Tourism English Speaking Guide and Dinner $70 per/person Amman is a collage composed of elements from traditional society and modern sophistication pleasantly scattered over a wide expanse of picturesque, hilly terrain. To begin your exploration, you should go to Citadel Hill, which affords a magnificent panorama of the Old City with the Roman amphitheatre nestled among urban sprawl in the valley below. You will note the bustling downtown life reaching into the surrounding hills as children and animals dart among closely built houses. On the fat horizon you can see the unique beauty of the black and white Abu Darwish mosque a top Jebel Ashrafiah. The Citadel Hill is crowned by Byzantine and Islamic ruins built on top of the Roman Temple of Hercules. Here you will find an archaeological museum which houses antiquities dating to the prehistoric era. A visit to the amphitheatre in the heart of downtown is a must, and while there you will want to visit the Museum of Popular Tradition and the Folklore Museum. One flanks either side of the amphitheatre. To many, the most physically and aesthetically impressive of Jordan's museums is the Martyrs' Memorial, a truncated pyramid structure of white stone covering reinforced concrete. On the exterior, near the top, is a band of basalt which bears verses from the approached by a dramatic incline, the Memorial houses a fitting tribute to Jordan's armed forces and those who gave their lives for the Kingdom's integrity. Half Day Amman Tour 2None1 Person2 People3 People4 People5 PeoplePrice including private A/C modern tourism bus, dinner and music. $70 per/person Dead Sea Movenpick Hotel (Near the Baptism Site) Amphitheater and Dinner around the pool and arena sunset. PetraNone1 Person2 People3 People4 People5 PeoplePrice including private A/C modern tourism bus, dinner and music. $200 per/person The most famous attraction in the Kingdom is the Nabataean City of Petra in the southern part of the kingdom. By the Desert Highway it is a three-hour drive south of Amman. Petra was a fortress city, literally carved out of craggy rocks in an almost inaccessible area. First settled around 800BC, by a Semitic tribe from northern Arabia. Petra's importance slowly dwindled as shipping displaced caravans. It became lost to memory and was only rediscovered when the Swiss explorer, disguised as an Arab, fell on it in 1812. Fortified behind a narrow, deep Siq (gorge) that slowly winds through a massive rock wall. Petra appears as if out of a fairy tale as you emerge into the sunlight, creates a spot that exudes hundreds of years of history against a backdrop of aesthetic perfection. Jerusalem Trip July 6-8, 2017None1 Person2 People3 People4 People5 PeopleProgram: Jul.06 Transfer from Amman to Allenby bridge Arrival Allenby bridge, Jericho, visit Mt, Temptation, Shepherds field and Bethlehem. dinner overnight Jerusalem Jul.07 Mt. of Olives, Gethsemane, Old City Al Aqsa Mosque for Friday prayer. Via Dolorosa to the Holy Sepulchre Jul.08 Mt. Sion Last Super room, David's Table and then transfer to Allenby bridge before noon to cross to Jordan Above prices include: - - 2 nights one double bed room at Jerusalem/St. George hotel - All tours/transfers by private modern tourist coach - Services of English/Arabic speaking guide - Entrance fees to all sites visited as per above program - Meet and assist upon arrival/ departure Above prices exclude: - - All lunches - Visa fees if any - Israeli departure tax from Allenby bridge, currently $50 per person - Any kind of insurance - Anything not mentioned above $200 per/person The most famous attraction in the Kingdom is the Nabataean City of Petra in the southern part of the kingdom. By the Desert Highway it is a three-hour drive south of Amman. Petra was a fortress city, literally carved out of craggy rocks in an almost inaccessible area. First settled around 800BC, by a Semitic tribe from northern Arabia. Petra's importance slowly dwindled as shipping displaced caravans. It became lost to memory and was only rediscovered when the Swiss explorer, disguised as an Arab, fell on it in 1812. Fortified behind a narrow, deep Siq (gorge) that slowly winds through a massive rock wall. Petra appears as if out of a fairy tale as you emerge into the sunlight, creates a spot that exudes hundreds of years of history against a backdrop of aesthetic perfection. Atlantic Humanitarian Relief NAAMA CME Conference Medical Mission July 1st - July 7th 2017AHR is a Boston Based non-profit organization (non religious, non political) with volunteers from across the globe. AHR organizes week long medical and humanitarian trips to aid Syrian Refugees in Jordan. AHR work in makeshift mobile clinics, community centers, and random refugee camps treating thousands of patients with little to no access to resources each trip! To register as a volunteer please visit. http://atlantichumanitarianrelief.org/registration/PAYMENT OPTIONSPlease check one:*Credit CardCheckBy PhonePayPalCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Please make your check payable to: NAAMA Convention Mail your payment to: NAAMA National Office, 2265 Livernois Road, Suite 720, Troy, MI 48083 Make sure to SUBMIT this form for your registration before mailing check. Please call the NAAMA National Office at (248) 646-3661 to make a payment over the phone. Have your credit card information ready. Please make sure to SUBMIT this form for your registration before calling in a payment. Total $0.00 Airline ReservationMembers and their families may contact one of the following travel agents for the group airline reservations. These agents have been advised of NAAMA's Conference schedule. 1- Mrs. Jinny Fakhouri at Skyway International travel at 248-559-2800, 2- Mr. Samir Khalil at K-Tours travel 646-290-5905, firstname.lastname@example.org You may also make your own reservations online using points, miles or your personal travel agent. Visas: US, Canadian and EU passport holders may obtain the entry visas at the airports (small fee may be charged). Please make sure that everyone in your party has a valid passport for 6 months at the time of your arrival to the countries you are traveling to. For any inquiries, please call the NAAMA office at 248-646-3661 or Dr. Ghassan Saed at 248-894-1474Hotel ReservationsThe NAAMA convention will be held at the Le Royal Hotel in Amman Jordan. To book a room at the Le Royal Hotel please visit http://www.leroyalamman.com/. Other recommended hotels are as follows: -Landmark hotel please visit http://www.landmarkamman.com/en/index.php -Meridian Hotel please visit http://www.lemeridienamman.com/ -Four Seasons Hotel please visit http://www.fourseasons.com/amman/ This iframe contains the logic required to handle AJAX powered Gravity Forms.