December 2023 CT

22 ELEBRATION A WARDS NNUAL A 2024 Cai-nj THE EVENT CENTER IPA FREEHOLD C @ THursday February

Sponsored by

Black Tie Optional

Registration Form

Payment Methods: 1.) Check payable to CAI-NJ, mailed to: CAI-NJ, Attn: Awards Celebration

Name/Designation: 1. ____________________________________ Company: ______________________________________________ Address: _______________________________________________ City, State, Zip: __________________________________________ Phone: ________________Email: ____________________________ ______ Tickets (per person). See below for pricing: Note: Ultimate Partners receive 4 tickets. Elite Partners receive 2 tickets. Premier Partners receive 1 ticket. _______ $160/MEMBER ________ $220/NON-MEMBER _______ # of partnership tickets Please list the name, company, designation and emails of additional registrations. 2. Name:_________________________________________________________________ Company: ______________________________________________________________ Email:__________________________________________________________________ 3. Name:_________________________________________________________________ Company: ______________________________________________________________ Email:___________________________________________________________________ 4. Name:_________________________________________________________________ Company: ______________________________________________________________ Email:__________________________________________________________________

500 Harding Road Freehold, NJ 07728

2.) Pay by credit card. Please call the CAI-NJ Office at 609-588-0030 to process your credit card.

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 February 16, 2024 for a full refund to be provided, swaps can be made at any time.

PLEASE NOTE: By registering for this CAI-NJ event, all registrants are agreeing to our COVID Release Waiver.

TOTAL: $ _________________

For questions or to submit registration, contact events@cainj.org, fax (609) 588-0040, phone (609) 588-0030.

*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.