CAI-NJ Mar.2018 (w)

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Thursday, April 26, 2018
6:00PM to 9:00pm
The Grand MarQuis
1550 Route 9 S., Old Bridge
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 Rate 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: 2018 Spring Break Party
500 Harding Road, Freehold, NJ 07728
2. Pay by credit card:
Cardholder Name: _______________________________________
Card Number: ____________________________________________
Exp. Date:____________________ Sec. Code:__________________
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 23rd for a refund to be provided.
Swaps can be made at any time.
For more information or to submit a registration,
contact or fax (609) 588-0040.
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