CAI-NJ June 2018 (w)

23 RD ANNUAL BEACH PARTY MARTELL’S TIKI BAR, POINT PLEASANT, NJ THURSDAY, AUGUST 9, 2018 | REGISTRATION 4:30 PM - 8:00 PM | PARTY 5:00 PM – 9:00 PM Presented By:

Questions? Contact Jackie at (609) 588-0030 or jaclyn@cainj.org

Name/Designation 1: ___________________________________________________________________________________ Company Name:________________________________________________________________________________________ Address:__________________________________________________________________________________________________ City, State, Zip:___________________________________________________________________________________________ Phone: ____________________________________________ Fax:__________________________________________________ Email: _____________________________________________________________________________________________________

Registration:

Before 7/20 After 7/20 or Onsite

CAI-NJ Members: Non-Members:

$90 $145

$100 $160

Note: Ultimate Partners receive 4 tickets. Elite Partners receive 2 tickets. Premier Partners receive 1 ticket.

Payment Methods: 1.) Pay by check, payable to CAI-NJ. Mail completed formand payment to: CAI-NJ Attn: 2018 Beach Party 500Harding Road, Freehold, NJ 07728 2.) Pay by credit card. Please fax to (609) 588-0040 Cardholder Name: ________________________________________________________________________________ CardNumber:______________________________________________________________________________________ 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.

Please list your attendees below. If needed, please attached another sheet of paper for additional guests.

Name Company (if different fromabove) 2. ____________________________________________________________________________________________________________ 3. ____________________________________________________________________________________________________________ 4. ____________________________________________________________________________________________________________ 5. ____________________________________________________________________________________________________________ 6. ____________________________________________________________________________________________________________ 7._____________________________________________________________________________________________________________ 8. ____________________________________________________________________________________________________________ 9. ____________________________________________________________________________________________________________ 10. ___________________________________________________________________________________________________________ ______ Total number of tickets TOTAL: $_________________ (see pricing chart)

All attendees must be 21 and over with a vaild I.D.