CAI-NJ Jun.2016

presented by:

2016 DENNIS R. CASALE MEMORIAL GOLF OUTING DINNER REGISTRATION Not golfing?

Tuesday, June 28, 2016 Cocktails & Hors D’Oeuvres 6:00 P.M. Dinner & Awards 7:00 P.M. Forsgate Country Club 375 Forsgate Drive, Monroe Township, NJ 08831

Come for cocktails and dinner! Dinner/Cocktail Hour: $115 Just want to come network? Join us for cocktails and dinner only.

2016 DENNIS R. CASALE MEMORIAL DINNER REGISTRATION

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

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.

ENNIS R. CASAL 201 2._______________________________________________________ 3._________________________________________________________ 4._________________________________________________________ Please return this form to: Jaclyn@cainj.org or fax to 609-588-0040