February 2017

Thursday, February 16, 2017 The Palace at Somerset Park: 333 Davidson Ave, Somerset, NJ Awards Dinner Community Associations Institute of New Jersey 2017

Registration/Cocktail Hour: 6:30pm-7:30pm

Sponsored By

Dinner & Awards: 7:30pm-10:30pm *GROOVY DISCO THEMED ATTIRE SUGGESTED

2017 Awards Dinner Registration Form

Payment options: Make check payable to CAI-NJ Mail completed form and payment to: CAI-NJ, 500 Harding Road, Freehold, NJ 07728

Name/Designation: _________________________________________________ Company:__________________________________________________________ Address: ___________________________________________________________ City, State, Zip: _____________________________________________________ Phone: ____________________________________________________________ Fax: _______________________________________________________________ Email: _____________________________________________________________ _______ # of partnership tickets Note: Ultimate receive 4 tickets, Elite receive 2 tickets and Premier receive 1 ticket. __________ $130.00 person OR __________ $1,200.00 per table (10 guests per table) Please list the name, company and designations of additional registrations. If necessary, please attach an additional sheet of paper (i.e: John Smith, AMC, CMCA – ABC Company.) 2. _________________________________________________________________ 3. _________________________________________________________________ 4. _________________________________________________________________

Pay by credit card: Please fax to (609) 588-0040 or email to jaclyn@cainj.org. Cardholder Name: __________________________________________ (as it appears on the card) Card Number: ______________________________________________ Exp. Date: __________ Security Code:___________________________ Cardholder Signature: _______________________________________ Cardholder acknowledges receipt of goods and/or services in the amount of the total shown here and agrees to perform the obligations set forth in the cardholder’s agreement with issuer. *Cancellation Policy-Cancellations must be made by February 9, 2017 in order to receive a refund. Swaps can be made at any time. For more information: email: Jaclyn@cainj.org or call: (609)588-0030

TOTAL $____________________