December 1, 2020, 5:00 to 7:30 PM

Arrival, food and parking starts at 5 PM

Celebration begins at 5:30 PM

DRIVE-IN, IN-CARS, OUTDOOR CELEBRATION IN

THE PARKING LOT OF CUMBERLAND MUTUAL

633 SHILOH PIKE, HOPEWELL

$35.00 Per Person Includes Dinner in Your Vehicle, Beverage, Popcorn, & Stadium Blanket

Giant HD Screen & Audio Broadcast to Your Auto’s FM Radio

CONTACT PERSON INFO. FOR THIS RESERVATION FOR DINNERS AND/OR SPONSORSHIPS

List one person as the contact for this reservation.

First Name*

Last Name*

(optional) Business / Organization Name

Please provide an email so we can confirm completion of your order.*

example@example.com

Phone*

Address

City

State

ZIP Code

SELECT THE TYPE OF REGISTRATION.

THE APPROPRIATE SECTION WILL OPEN FOR YOU TO COMPLETE.

Select type of registrations.

Celebration ReservationsSponsorships / Ads

Type of Auto That Will Be Used to Attend this Event. If more than 1, describe both.

SELECT THE NUMBER OF PEOPLE TO BE PART OF THIS RESERVATION AND COMPLETE NAMES AND DINNER CHOICES

Name #1

First NameLast Name

Name #1 Dinner Choice

1 - Grilled Salmon with roasted potatoes and mixed vegetables and roll;2 - Penne Vodka with grilled chicken with roasted potatoes and vegetables and roll.3 -Spinach Salad, walnuts, strawberries, crumbled blue cheese and raspberry vinaigrette dressing and roll.4 -Spinach Salad, same as #3 with grilled chicken added.

Name #2

First NameLast Name

Name #2 Dinner Choice

1 - Grilled Salmon with roasted potatoes and mixed vegetables and roll;2 - Penne Vodka with grilled chicken with roasted potatoes and vegetables and roll.3 -Spinach Salad, walnuts, strawberries, crumbled blue cheese and raspberry vinaigrette dressing and roll.4 -Spinach Salad, same as #3 with grilled chicken added.

Name #3

First NameLast Name

Name #3 Dinner Choice

1 - Grilled Salmon with roasted potatoes and mixed vegetables and roll;2 - Penne Vodka with grilled chicken with roasted potatoes and vegetables and roll.3 -Spinach Salad, walnuts, strawberries, crumbled blue cheese and raspberry vinaigrette dressing and roll.4 -Spinach Salad, same as #3 with grilled chicken added.

Name #4

First NameLast Name

Name #4 Dinner Choice

1 - Grilled Salmon with roasted potatoes and mixed vegetables and roll;2 - Penne Vodka with grilled chicken with roasted potatoes and vegetables and roll.3 -Spinach Salad, walnuts, strawberries, crumbled blue cheese and raspberry vinaigrette dressing and roll.4 -Spinach Salad, same as #3 with grilled chicken added.

Name #5

First NameLast Name

Name #5 Dinner Choice

1 - Grilled Salmon with roasted potatoes and mixed vegetables and roll;2 - Penne Vodka with grilled chicken with roasted potatoes and vegetables and roll.3 -Spinach Salad, walnuts, strawberries, crumbled blue cheese and raspberry vinaigrette dressing and roll.4 -Spinach Salad, same as #3 with grilled chicken added.

Name #6

First NameLast Name

Name #6 Dinner Choice

1 - Grilled Salmon with roasted potatoes and mixed vegetables and roll;2 - Penne Vodka with grilled chicken with roasted potatoes and vegetables and roll.3 -Spinach Salad, walnuts, strawberries, crumbled blue cheese and raspberry vinaigrette dressing and roll.4 -Spinach Salad, same as #3 with grilled chicken added.

Name #7

First NameLast Name

Name #7 Dinner Choice

1 - Grilled Salmon with roasted potatoes and mixed vegetables and roll;2 - Penne Vodka with grilled chicken with roasted potatoes and vegetables and roll.3 -Spinach Salad, walnuts, strawberries, crumbled blue cheese and raspberry vinaigrette dressing and roll.4 -Spinach Salad, same as #3 with grilled chicken added.

Name #8

First NameLast Name

Name #8 Dinner Choice

1 - Grilled Salmon with roasted potatoes and mixed vegetables and roll;2 - Penne Vodka with grilled chicken with roasted potatoes and vegetables and roll.3 -Spinach Salad, walnuts, strawberries, crumbled blue cheese and raspberry vinaigrette dressing and roll.4 -Spinach Salad, same as #3 with grilled chicken added.

SPONSORSHIP SECTION

SELECT YOUR SPONSORSHIP OPTION

If you select an ad or sponsorship, please submit your logo and ad to the Chamber no later than Nov. 20 to bacc@baccnj.com. or attach it to this form below.

Attach your ad for your sponsorship here or email to bacc@baccnj.com

Browse Files

OTHER COMMENTS

Below, select payment option, by check or cash to be sent to the Chamber office OR PAY ONLINE.

When you select the option, a section will open to complete payment information.

When the payment options are completed, click SUBMIT to complete your order.

SELECT YOUR PAYMENT OPTION*

Check or CashOnlineComplimentary / Sponsor

PAY WITH CHECK OR CASH

Dinner Reservations

PAY ONLINE - CREDIT, DEBIT

Pay with Credit / Debit Card

Heroes Award Celebration & Dinner$35.00

Quantity

Heroes Award Celebration & Dinner Complimentary / Sponsor$ Free

Quantity

Community Hero Award Presenting Sponsor$1,000.00

Hometown Heart Sponsors $500.00

Honor Our Heroes Sponsor$35.00

Donate $35 per person to provide complimentary dinner / attendance for honorees and their guests.

Community Pide Sponsors - Full Page Ad$100.00

Community Pride Sponsor - Half Page Ad$60.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Date of Registration

Date

Type security word(s) as it's shown*