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TUESDAY, JUNE 27, 2017

Forsgate Country Club

REGISTRATION, LUNCH&CONTESTS: 11:00AM

GROUP PHOTO: 12:00PM

GOLF PROANNOUNCEMENTS: 12:15PM

SHOTGUN START: 12:45PM

COCKTAILS &HORS D’OEUVRES: 6:00PM

DINNER &AWARDS: 7:00PM

Name/Designation 1._________________________________

Company Name _____________________________________

Address____________________________________________

City, State, Zip_______________________________________

Phone______________________________________________

Fax ________________________________________________

Email ______________________________________________

PleaseNote: Ultimate Partners receive 1 pre-paid foursome. Elite Partners receive 1

pre-paid foursome and one green sponsorship. Premier Partners receive one dinner

ticket and one tee sponsorship.

2. __________________________________________________

3.__________________________________________________

4.__________________________________________________

Dinner/Cocktail Hr. $115.00

Total: __________________

Pay by check, payable to CAI-NJ.

Mail completed form and payment to:

CAI-NJ, Attn: 2017 Dennis R. Casale Memorial Golf Outing

500 Harding Rd., Freehold, NJ 07728

Pay by credit card. Please fax to (609) 588-0040.

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 hereon

and agrees to perform the obliga-

tions set forth in the

cardholder’s agreement with

issuer.

Please return form to

jaclyn@cainj.org

or fax 609.588.0040

Dinner Only Registration Form

Presented By