2026 Annual NJCUPSA Awards Luncheon Registration (Online Payment)

NJCUPSA Awards Luncheon - 6/10/26

REGISTRATION & ONLINE PAYMENT FORM
INFORMATION
Name:

PrefixFirst NameLast NameSuffix
Job Title:
Institution:
E-mail:
Phone:
Business Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please List Names of Additional Attendees including Awardees:
CONFIRM Total Number of Attendees Including Yourself
AWARDEE DISCOUNT:

NJCUPSA will cover 100% of the ticket cost for up to FIVE awardees in attendance.

Please ONLY purchase the necessary number of tickets below.
TICKETS

$70.00 per person plus $3.00 processing fee
Total Number of Paying Guests:
prevnext( X )
Per Person/Ticket$73.00
Includes $3.00 processing fee

Quantity

Total $0.00
Comments or Special Needs:
Type words you see.
Should be Empty:

NJCUPSA Awards Luncheon - 6/10/26