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ENNIS R. CASAL

201

2016 DENNIS R. CASALE MEMORIAL

GOLF OUTING DINNER REGISTRATION

Not golfing?

Come for cocktails

and dinner!

Dinner/Cocktail

Hour: $115

Just want to come network?

Join us for cocktails and dinner only.

Name/Designation 1. ____________________________________

Company Name ________________________________________

Address _________________________________________________

City, State, Zip___________________________________________

Phone __________________________________________________

Fax _____________________________________________________

Email ___________________________________________________

Please Note:

Premier Partners receive one dinner ticket.

Dinner/Cocktail Hr. $115.00

Please List Additional Registrations Below

2._______________________________________________________

3._________________________________________________________

4._________________________________________________________

Pay by check, payable to CAI-NJ.

Mail completed form and payment to:

CAI-NJ

Attn: 2016 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 obligations set forth in the

cardholder’s agreement with issuer.

2016 DENNIS R. CASALE MEMORIAL DINNER REGISTRATION

Tuesday, June 28, 2016

Cocktails & Hors D’Oeuvres

6:00 P.M.

Dinner & Awards

7:00 P.M.

presented by:

Please return this form to:

Jaclyn@cainj.org

or fax to 609-588-0040

Forsgate Country Club

375 Forsgate Drive,

Monroe Township, NJ 08831