2018 Awards Dinner Booklet for web

REGISTER HERE... Name/Designation: ____________________________________________Company:_____________________________________________________ Address:______________________________________________________City, State, Zip: _______________________________________________ Phone: _______________________________________________________Fax:_ _________________________________________________________ Email:_________________________________________________________

Notes: Ultimate Partners receive 4 tickets, Elite Partners receive 2 tickets and Premier Partners receive 1 ticket. ____ # of partnership tickets OR ____ $130.00 person OR ____ $1,200.00 per table (10 guests per table)

Please list the name, company and designations of additional registrations. 2. _ ___________________________________________________________3. ____________________________________________________________ 4. _ ___________________________________________________________5. ____________________________________________________________ 6. _ ___________________________________________________________7. ____________________________________________________________ 8. _ ___________________________________________________________9. ____________________________________________________________ 10.____________________________________________________________ TOTAL DUE $_ ___________________

Payment options: Make check payable to CAI-NJ Mail completed form and payment to: CAI-NJ, 500 Harding Road, Freehold, NJ 07728

Pay by credit card below: fax to (609) 588-0040 or email to jaclyn@cainj.org. Cardholder Name: _ _____________________________________________Card Number: ________________________________________________ Exp. Date: __________________ Security Code:______________________Cardholder Signature: _________________________________________ Cardholder acknowledges receipt of goods and/or services in the amount of the total shown here and agrees to perform the obligations set forth in the cardholder’s agreement with issuer. *Cancellation Policy-Cancellations must be made by February 8, 2018 in order to receive a refund. Swaps can be made at any time.