NJESA 50th Anniversary Dinner Sponsor Form

The NJESA 50th Anniversary Gala Event

Sponsor the NJESA 50th Anniversary Dinner

October 5 at Caesar’s Palace, Atlantic City

We invite you to be a sponsor as we honor the Pioneers of the New Jersey Security Industry at a special gala dinner on October 5 at Caesar’s Palace in Atlantic City. This once in a lifetime event will recognize and honor individuals, alarm companies, manufacturers, distributors and central stations that have played an important role in the growth of our industry and the origins of our association. (Recognition will be commensurate with your sponsorship level).

My company would like to sponsor:

Platinum Gold Silver Bronze

Billing Contact Name

Billing Address

Billing Suite

Billing City

Billing State

Billing Zip

Billing Phone Number

Billing Fax

Billing Email Address

Payent Method

Will send by mail to the NJESA Office (and payable to the NJESA)

Check Money Order

Total for Check or Money Order

Total for Credit Card

Charge my

Visa MasterCard American Express

Total Amount (to be billed to my credit card)

Credit Card Number

Expiration Date

CVV

Signature (please print your name)

Privacy Policy: NJESA does not collect any personal identifying information about you unless you specifically and knowingly provide such information. Contact information provided to NJESA may be used to send information about NJESA or ESA programs, events, opportunities, or other useful information.

NJESA may share contact information with associate members and other companies that offer NJESA member benefits and programs. NJESA will not share contact information with any other company, group, or organization that is not affiliated with the association for the sole intent of using such information for marketing purpose.

The undersigned represents all information submitted is accurate; false information may result in denial or revocation of membership. If approved, the undersigned agrees to comply with the NJESA bylaws, Standards of Conduct, code of ethics and antitrust statement. NJESA may deny membership regardless of any payments submitted.NJESA may share contact information with associate members and other companies that offer NJESA member benefits and programs. NJESA will not share contact information with any other company, group, or organization that is not affiliated with the association for the sole intent of using such information for marketing purpose.

The undersigned represents all information submitted is accurate; false information may result in denial or revocation of membership. If approved, the undersigned agrees to comply with the NJESA bylaws, Standards of Conduct, code of ethics and antitrust statement. NJESA may deny membership regardless of any payments submitted.

Payent Method

Nominee:

Nominated By: