CAI-NJ September 2021

Sponsored By

MARTELL’S TIKI BAR | POINT PLEASANT, NJ FRIDAY, SEPTEMBER17, 2021 | 4:00 PM– 8:00 PM ***ALL ATTENDEESMUST BE 21+WITHAVALID ID

Name/Designation 1: ________________________________________________ Company Name: ____________________________________________________ Phone: _____________________________________________________________ Email: ______________________________________________________________ Name Company (if different from above) 2. __________________________________________________________________ 3. __________________________________________________________________ 4. __________________________________________________________________ 5. __________________________________________________________________ 6. __________________________________________________________________ 7. __________________________________________________________________ 8. __________________________________________________________________ 9. __________________________________________________________________ 10._________________________________________________________________ TOTAL: $_________________ (see pricing chart) 8/25 - 9/8 9/9 - ONSITE CAI-NJMembers: $100 $125 Non-Members: $160 $185 Note: Ultimate Partners receive 4 tickets. Elite Partners receive 2 tickets. Premier Partners receive 1 ticket.

Payment Methods: 1.) Payby check, payable toCAI-NJ. Mail completed formandpayment to: CAI-NJ Attn: 2021 Beach Party 500 Harding Road, Freehold, NJ 07728 2.) Pay by credit card. Please fax to (609) 588-0040 Cardholder Name: _________________________________________________ Card Number:_____________________________________________________ Exp. Date:_____________________Security Code:_______________________ Address: ___________________________________________________________ City, State, Zip: ______________________________________________________ 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 NOTE: ALL PARTICIPANTS MUST FILL & SIGN OUR COVID RELEASE WAIVER. IF YOU ARE REGISTERINGMORE THAN ONE PERSON, EACH REGISTRANT ATTENDINGMUST FILL & SIGN SEPARATELY. By registering for a CAI-NJ event, the registrant acknowledges that they are responsible to pay the full registration fee at the time of registration. Registrations will not be processed until all previous outstanding balances are paid in full. Cancellations must be made by September 13th, 2021 for a full refund to be provided, swaps can be made at any time.

Send Registrations to Jaclyn@cainj.org or Fax 609-588-0040

*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.

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