The New Jersey District of Circle K INSIGHT 2019 Registration
 
Please answer the questions below to reserve your spot for INSIGHT 2019.
 
The event will be held from November 1-3, 2019 at Baptist Camp Lebanon
Located at 79 Blossom Hill Rd, Lebanon NJ 08833
 
 
 
 
EARLYBIRD REGISTRATION FOR $126 WILL END ON Sunday, October 20th, 2019 AT 12PM
 
REGULAR REGISTRATION FOR $131 WILL END ON FRIDAY, OCTOBER 25th, 2019 AT 12PM
 
PLEASE READ ALL DIRECTIONS BELOW. AFTER CLICKING ON THE CONTINUE BUTTON, YOU WILL BE REDIRECTED TO A PAYMENT PAGE. YOU MUST CLICK ON ON THE CONFIRM PAYMENT BUTTON IN ORDER FOR YOUR REGISTRATION TO GO THROUGH PROPERLY!!!

If you are paying by Credit Card:

If you would like to pay by Credit or Debit Card, you will be able to do so through Venmo. Payment must be sent through Venmo to @NJCircleK no later than the dates listed below:

Sunday, October 20th for Earlybird Registration

Friday, October 25 for Regular Registration

 

If you are paying by Check:

Please make checks out to New Jersey Circle K and mail them to:

New Jersey Circle K
P.O. Box 449
Howell, NJ 07731

For Earlybird Registration, Please have your check postmarked no later than Sunday, October 20th, or your registration will be void.

For Regular Registration, Please have your check postmarked no later than Friday, October 25th, or your registration will be void.

All checks should be postmarked by these dates unless otherwise approved by District Administrator Mickey Cohen, who can be contacted at Mickeyrc.cki@gmail.com. Thank you.

If you are paying by check for more than just yourself, please include a list of names of those you are paying for.

Unfortunately, there will be No refunds. 

Registration

Registration:
 
Earlybird Registration will be open until Sunday, October 20, 2019 at 12pm. The discounted rate for all Circle K Members, Kiwanians, Faculty Advisors, and Guests that register by this date $126. If you are paying by Check, Checks must be made out to New Jersey Circle K for $126 and postmarked by Sunday, October 20. If you would like to pay by Credit or Debit Card, you will be able to do so through Venmo. Payment must be sent through Venmo to @NJCircleK no later than Sunday, Ocotober 20th.
 
Please mail all checks to:
 
New Jersey Circle K
P.O. Box 449
Howell, NJ 07731
Earlybird Registration - To Receive the Discount, You Must Register Before 12pm on Sunday, October 20th: *
I am registering for NJ Circle K INSIGHT as a: *

ONCE YOU HAVE COMPLETED THE FORM, YOU WILL BE REDIRECTED TO THE PAYMENT PAGE.
YOU MUST CLICK ON ON THE "CONFIRM ORDER" BUTTON IN ORDER FOR YOUR REGISTRATION TO GO THROUGH PROPERLY.
 
For Earlybird Registration, Please make your payment in no later than Sunday, October 20th, or your registration will be void.
For Regular Registration, Please make your payment no later than Friday, October 25th, or your registration will be void.
 
If you are paying by Credit or Debit Card, payment must be sent through Venmo to @NJCircleK.
 
If you are paying by Check, Please make checks out to New Jersey Circle K and mail them to:

New Jersey Circle K
P.O. Box 449
Howell, NJ 07731

For more information regarding the event please contact:

District Governor Taylor McKay at taylormckay.cki@gmail.com or INSIGHT Chair Anisha Singh at anishasingh.cki@gmail.com