CAI-NJ January 2017

Thursday, February 16, 2017

The Palace at Somerset Park: 333 Davidson Ave, Somerset, NJ

Awards

Dinner

Community Associations Institute of New Jersey

2017

Name/Designation: _________________________________________________

Company:__________________________________________________________

Address: ___________________________________________________________

City, State, Zip: _____________________________________________________

Phone: ____________________________________________________________

Fax: _______________________________________________________________

Email: _____________________________________________________________

_______ # of partnership tickets

Note: Ultimate receive 4 tickets, Elite receive 2 tickets and Premier receive 1

ticket.

__________ $130.00 person

__________ $1,200.00 per table

(10 guests per table)

Please list the name, company and designations of additional registrations.

If necessary, please attach an additional sheet of paper (i.e: John Smith, AMC,

CMCA – ABC Company.)

2. _________________________________________________________________

3. _________________________________________________________________

4. _________________________________________________________________

TOTAL $____________________

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:

Please fax to (609) 588-0040 or email to

Cardholder Name: __________________________________________

(as it appears on the card)

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 9, 2017 in order

to receive a refund. Swaps can be made at any time.

For more information: email:

Jaclyn@cainj.org

or call: (609)588-0030

2017 Awards Dinner Registration Form