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Register For Dinner Event

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Wednesday January 19, 2022 Dinner Meeting & Presentation - Topic and Speaker To Be Announced
Date of Event:01/19/2022 6:00PM - 01/19/2022 9:00PM
Location:Pines Manor 2085 Lincoln Highway (State Route 27) Edison, NJ 08817    Driving Directions
Mail-In Form:Mail-in Form
Summary:6PM Registration, Social Hour & Cash Bar, 7PM Dinner, 8PM Presentation - Speaker and Topic To Be Announced
Description:6PM Registration, Social Hour & Cash Bar, 7PM Dinner, 8PM Presentation - Speaker and Topic To Be Announced *The Pines Manor requests that while in their building you wear a mask, if you have not received your COVID-19 vaccination.

First Name
Middle Name
Last Name
Suffix
Email (Primary)
Business Name
Guest Name 1 (Optional)
Guest Name 2 (Optional)
Guest Name 3 (Optional)
Guest Name 4 (Optional)
Guest Name 5 (Optional)

Member (Early) $50.00 if paid before 2022-01-11 (up to 8 days before 2022-01-19)
Member (Late) $55.00 if paid on or after 2022-01-12 (7 days to 1 day before 2022-01-19)
Non-Member/Guest (Early) $60.00 if paid before 2022-01-11 (up to 8 days before 2022-01-19)
Non-Member/Guest (Late) $65.00 if paid on or after 2022-01-12 (7 days to 1 day before 2022-01-19)

Current Total Due: $0

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