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PRESENTED BY:
Name/Designation: 1. ________________________________
Company: __________________________________________
Address: ___________________________________________
City, State, Zip: ______________________________________
Phone: _______________________ Fax:__________________
Email:_______________________________________________
______ Tickets (per person). See below for pricing:
Note: Ultimate Partners receive 4 tickets. Elite Partners receive 2
tickets. Premier Partners receive 1 ticket.
Register by:
Early After 4/6 or Onsite
CAI-NJ Members:
$105 $115
Non-Members:
$125 $135
Please list the name, company and designations of additional
registrants.
2._________________________________________________
3._________________________________________________
4._________________________________________________
5._________________________________________________
TOTAL: $_________________
Payment Methods:
1. Pay by check, payable to CAI-NJ. Mail completed form and
payment to:
CAI-NJ, Attn: 2019 Spring Break Party
500 Harding Road, Freehold, NJ 07728
2. Pay by credit card:
Cardholder Name: ___________________________________
Card Number: _______________________________________
Exp. Date:____________________ Sec.:__________________
Signature: __________________________________________
*Cardholder acknowledges receipt of goods and/or services in
the amount of the total shown hereon and agrees to perform
the obligations set forth in the cardholder’s agreement with
issuer.
Cancellations must be made
by April 22nd for a refund to
be provided. Swaps can be
made at any time.
For more information or to submit a registration, contact
jaclyn@cainj.orgor fax (609) 588-0040.
THURSDAY, APRIL 25, 2019
6:00PMTO 9:00PM
THE GRAND MARQUIS
1550ROUTE 9 S., OLDBRIDGE
Registration Form