THE MEDICAL SOCIETY OF NEW JERSEY CORDIALLY INVITES YOU TO CELEBRATE THE INAUGURATION OF
Christopher E. Gribbin,MD AS OUR
225TH PRESIDENT
SATURDAY, MAY 13TH, 2017 6:00 P.M. COCKTAIL RECEPTION 7:30 P.M. INAUGURAL DINNER DANCE FEATURING THE BILLY STONE BAND MSNJ PRESENTS THE DE GROOTE AWARD & THE LIFETIME ACHIEVEMENT AWARD $275.00 PER PERSON $2,500.00 PER TABLE OF 10 JASNA POLANA 4519 PROVINCE LINE ROAD PRINCETON, NEW JERSEY BLACK TIE INVITED
MSNJ P resident
Christopher E. Gribbin,MD I naugural D inner D ance Kindly respond on or before M ay 1, 2017
N ame ( s ): ______________________________________ N umber
of
P ersons : _______
$275.00 P er P erson $2,500.00 P er T able
Advance table registration is available for full tables of ten. Please list names on the reverse side. A check for the full amount, made payable to the Medical Society of New Jersey, must be included. To pay by credit card, register online at www.msnj.org/events or complete reverse side.
Please include guest names for tables of ten
1. _______________________________ 6. _______________________________ 2. _______________________________ 7. _______________________________ 3. _______________________________ 8. _______________________________ 4. _______________________________ 9. _______________________________ 5. _______________________________ 10. _______________________________ Payment Methods Check - Made payable to Medical Society of New Jersey Mastercard
Visa
AmEx
Name on Card:__________________________________________________ Card Number:__________________________________ Exp. Date:_______ Billing Address:___________________________________________________ Email: ___________________________________________________________