NJCMA January 2022 Workshop

First Name

Last Name

Email Address

Club Name

CMAA Member

Yes

No

CMAA Membership Number

Designation
(select all that apply)

Workshop Registration

Fee Schedule Prior to 12/23/21

NJCMA Members @ $195 pp

Non NJCMA Member @ $210 pp

Fee Schedule After 12/23/21

NJCMA Members @ $210 pp

Non NJCMA Members @ $225 pp

Non Attendees Attending Reception Sunday, 1/23/22 @ $50 pp

Please provide the name & Email Addresses of additional attendees signed up within this registration:

Names/ Email Addresses

Total Enclosed

Please make check payable to NJCF and mail to: NJCF, PO Box 549, Franklin Lakes, NJ 07417 by Jan. 2, 2022