2008-09 FLORIDA SWING VACATION � REGISTRATION FORM

2008-09 FLORIDA SWING VACATION – REGISTRATION FORM Name (s): __________________________________________________ Address: __________________________________________________ City : ___________________________ State __________ Zip ________ Club Affiliate: _______________________________________________ Email address: ______________________________________________ Phone: ____________________________ $95 single $950 per table Total enclosed: $_____________________ Please make check payable to: Floorplay Dance Club 1120 Harms Way Port Orange, FL 32129 Note: Seats & tables assigned on first-paid, first-served basis!