July 2023

MUST BE 21+ TO ATTEND

Sponsored By

THURSDAY, SEPTEMBER 14TH | 4:00PM TO 8:00PM MARTELL'S TIKI BAR, PT. PLEASANT

Send this completed registration form to events@cainj.org.

Registrant Billing Contact Name/ Designation (1):____________________________________________ Phone: _____________________________________________ Company Name: __________________________________________________ Email: ______________________________________________ Email (2): _______________________________________________________________________________________________________________________ (3): _______________________________________________________________________________________________________________________ (4): _______________________________________________________________________________________________________________________ (5): _______________________________________________________________________________________________________________________ (6): _______________________________________________________________________________________________________________________ Name Company

Before 8/31

8/31 - ONSITE

CAI-NJ Members: Non-Members:

$100 $160

$125 $185

Total Due: $____________________

(Ultimate Partners receive 4 tickets. Elite Partners receive 2 tickets. Premier Partners receive 1 ticket.)

Payment Methods (check one):

PLEASE NOTE: By registering for this CAI-NJ event, you are agreeing to our COVID Release Waiver. https://cainj.org/covid-release-waiver/

1.) Pay by check, payable to CAI-NJ. Mail completed form with payment to: CAI-NJ Attn: Beach Party 500 Harding Road Freehold, NJ 07728 2.) Pay by credit card by calling the office at 609-588-0030 or request an invoice.

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 7th, 2023 for a full refund to be provided. Swaps can be made at any time. *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.