April2017

TUESDAY, JUNE 27, 2017 Forsgate Country Club

REGISTRATION, LUNCH&CONTESTS: 11:00AM GOLF PROANNOUNCEMENTS: 12:15PM SHOTGUN START: 1:00PM

COCKTAILS &HORS D’OEUVRES: 6:00PM DINNER &AWARDS: 7:00PM

Please return form to jaclyn@cainj.org or fax 609.588.0040

Dinner Only Registration Form

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

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 obligations set forth in the cardholder’s agreement with issuer.

Total: __________________