Inspire Yourself by Inspiring Others

Registration for Project Inspire's 8th Annual Convention

Due to the brand new location please read all instructions and details carefully.
Important Information:
Reservations (view rate chart)
How many rooms do you need?

Room #1 Details
Please enter the amount of adults and children for room #1 only
Adults (12+)

Children 6-11 years

Children 2-5 years

Children 0-24 months

Title *
First Name *
 Last Name *
Address *
City *
State *
Zip *
Age *
Gender *
Email *
Cell *
Dietary Restrictions

Additonal Options For Room #1

All rooms include a refrigerator and 2 queen beds.
The Hotel does not have any cots but does have pull out beds in all rooms.
Please add a crib to room #1 for an additional $40 (Subject to availablity.)
Additional Options
Please add a high chair for an additional $15. (Subject to availability.)
Cost Summary
Total: $
Billing Information (same as above)
First Name: *
Last Name: *
Address: *
City: *
State: *
Zip: *
Country: *
Home Phone: *
Cell Phone:
Email Address: *
Payment Details
Card Type: *
Card Number: * (with no spaces)
Expiration Month: *
Expiration Year: *
Security Code: *
This is the 3 or 4 digit number printed on the back signature panel. It is on the front of the card for American Express.
Security Check
Additional Information
Seating Request:
The conference has assigned seating for the shabbos meals. Please specify people that you would like to sit with and we will do our best to accommodate
Have you attended previous Project Inspire conventions?
Yes      No
How did you hear about us/Where did you see our ad? *
Additional Comments:

When submitting your registration, your credit card will immediately be charged the above stated amount. Should there be any changes or additions to your
registration, including additional room, guests or additional options, the charge will be altered accordingly.

By clicking register you agree to allow Project Inspire to charge your credit card, and agree to the terms of our registration policy.
Your credit card will be charged automatically upon clicking the "register" button below.
Do not hit the "register" button more than once!
Please wait a moment while we process your request.
Project Inspire is a non-profit 501c3 organization.
For questions, email or call (718) 874-8875.
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