CAI-NJ Mar. 2019 (w)

PRESENTED BY:

THURSDAY, APRIL 25, 2019 6:00PMTO 9:00PM THE GRAND MARQUIS 1550ROUTE 9 S., OLDBRIDGE

Registration Form

Payment Methods: 1. Pay by check, payable to CAI-NJ. Mail completed form and payment to:

Name/Designation: 1. ________________________________ Company: __________________________________________ Address: ___________________________________________ City, State, Zip: ______________________________________ Phone: _______________________ Fax:__________________ Email:_______________________________________________ ______ Tickets (per person). See below for pricing: Note: Ultimate Partners receive 4 tickets. Elite Partners receive 2 tickets. Premier Partners receive 1 ticket.

CAI-NJ, Attn: 2019 Spring Break Party 500 Harding Road, Freehold, NJ 07728

2. Pay by credit card: Cardholder Name: ___________________________________ Card Number: _______________________________________ Exp. Date:____________________ Sec.:__________________ 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.

Register by:

Early After 4/6 or Onsite

CAI-NJ Members: Non-Members:

$105 $115 $125 $135

Please list the name, company and designations of additional registrants. 2._________________________________________________ 3._________________________________________________ 4._________________________________________________ 5._________________________________________________ TOTAL: $_________________

Cancellations must be made by April 22nd for a refund to be provided. Swaps can be made at any time.

For more information or to submit a registration, contact jaclyn@cainj.org or fax (609) 588-0040.

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