CAI-NJ March 2022

CMCA EXAM STUDY GROUP

TUESAY, APRIL 12TH | 9:00 AM -12:00 PM WITH PRESENTERS: KRISTINA MUNSON, CMCA, AMS, PCAM - RCP MANAGEMENT COMPANY, AAMC, AMO & DEBBIE PASQUARIELLO, CIC, CIRMS - USI INSURANCE SERVICES CAI-NJ HEADQUARTERS, 500 HARDING RD, FREEHOLD

CMCA Study Group - Coffee & Cram Registration form

Name/ Designation: ___________________________________________________________________________ Company/Firm: ______________________________________________________________________________ Address: ___________________________________________________________________________________ City, State, Zip: _______________________________________________________________________________ Phone: __________________________________________ Fax: ________________________________________ Email: ______________________________________________________________________________________

PLEASE NOTE: ALL PARTICIPANTS MUST FILL & SIGN OUR COVID RELEASE WAIVER. IF YOU ARE REGISTERINGMORE THAN ONE PERSON, EACH PERSON ATTENDING MUST FILL & SIGN SEPARATELY. FREE for CAI-NJ manager members who have successfully completed THE M-100 class.

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Questions? Email: info@cainj.org or call: (609) 588-0030 mail form to: CAI-NJ, Attn: Coffee & Cram, 500 Harding Rd, Freehold, NJ 07728 email: info@cainj.org, fax: (609) 588-0040

QR CODE FOR COVID WAIVER

In order to attend a CAI-NJ sanctionedmeeting, programor event, guests must adhere to the following COVID-19 attendance guidelines: 1. Must provide proof of COVID-19 Vaccination, along with a photo ID, at the check-in table for chapter meetings and events. Currently, the Center for Disease Control (CDC) defines fully vaccinated as two (2) doses of the Pfizer orModerna vaccines or one (1) dose of the Johnson and Johnson vaccine two weeks prior to attendance. Refer to the CDC guidelines for updates onwhat is accepted as fully vaccinated, OR 2. Provide proof of a negative PCRCovid-19 test takenwithin 72 hours of arrival on-site, along with a photo ID.The test must be administered by amedical professional, presented on official paperwork, and not be self-administered. 3. Wearing amask is strongly encouraged CAI-NJ advises that for training, marketing or other purposes, this event may be recorded, videotaped and/or photographed. By attending this event, the registrant(s) consents to the use of his/her image by CAI-NJ and agrees to waive any claim for the use of his/her image, including without limitation, the appropriation of his/her image for commercial purposes or the invasion of his or her privacy.