Florida Accordion Association SMASH 2011, On-line Registration Form
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Please complete and submit this form, or print and mail with payment by October 11, 2011.
For entire event attendees: Your names will be at the registration desk on Saturday, please register and pick up your nametags.
Friday night only attendees: check in when you get there.

NOVEMBER 11, 12, 13, 2011

International Palms Resort (formerly the Holiday Inn International Resort)
6515 International Drive, Orlando, FL 32819 - Phone: 1-800-354-8332

Phone: 407-351-3500 for HOTEL reservations ONLY
(Mention Florida Accordion Association for discounted room rate of $75.00+ tax, single to quad)

Hotel reservations due to hotel by 10/12/11 for this rate
Check in: 4:00 PM, Check out: 11:00 AM
(407) 351-3500 FOR DIRECTIONS TO HOTEL - Discount shuttle service - Mear's: 407-423-5566

Please make checks payable to FL ACC ASSOC, and mail this completed form to: 
Karen Adam Kasprzyk, FL ACC ASSOC, 2244 Musket Dr., Navarre, FL 32566
so that it is received on or before October 12, 2011. 

Any questions, please call FL Acc Assoc at (850) 936-8722 CST, between 6-7 PM CST, or email FLACCASSOC@bellsouth.net

Note: Registration to SMASH event is separate from room reservation.

I am available to help at the 2011 SMASH
Friday Night
Yes No
Saturday
Yes No

 
SMASH Attendee Name(s)
No. of attendees
Address
City/State/Zip
Phone
E-mail
Confirm e-mail
Florida Accordion Association Smash Registration Form - Registration deadline: October 12, 2011
  Name Price Total Due
Member Name $130.00 $
Member Spouse $130.00 $
Non-member Name $140.00 $
Non-member Spouse $140.00 $
Late Reg. Fee per person after 10/12/2011 Number $15.00 $
I can only attend on Friday Night and/or dealer room weekend pass Yes No Number $35.00 $
Optional Sunday Breakfast & Concert at 9:00 am Yes No Number $20.00 $
Note: All meals include tax & gratuity
I want to renew my Membership or Join the FA or SE Accordion Association
    Price Total Due
Renew/Join FA or SE Accordion Association:
(please check the expiration date to the right of your name on the envelope)		 Yes No $30.00 $
Name:
Street/Number:
City:
State/Zip:
County:
Phone: (with area code)
E-mail: *Required Field
Grand Total Due:
 $
Friday, November 11th - Additional Registration Information
I wish to play on Friday Night at the Café Accordeon in the Lounge hosted by Alvaro 'Beaver' Barsi, 4:30 PM until... Any/all are invited to play … solos, duets, trios, jams, etc... (all instruments welcome) Includes: cash bar, dealer displays, Orchestra rehearsal, 50/50 raffle.
 Yes No
Saturday, November 12th - Additional Registration Information
I wish to perform on Saturday Registration 8:30 - 9:30 AM
featuring entertainment by superb FAA members.
 Yes No
I wish to "stroll" during Saturday Lunch (you may choose both)
 Yes No
I wish to "stroll" during Saturday Dinner
 Yes No
I wish to play in the 2011 SMASH Orchestra Which grade of music would you like (Palmer and Hughes Books 1-10 scale): Music will be mailed to you, bring music stand, rehearsal is Friday night, time TBA Playing grade, according to PH Books 1-10 (10 is highest grade)
 Yes No
PH Book:
Payment by:

Note: tickets will not be sent. For our Friday-night-only attendees, your names will be on a list in the Front Street Cafe on Friday night. Check in when you get there. For entire event attendees: your names will be at the registration desk on Saturday, please register and pick up your nametags.
 
Please make checks payable to FL ACC ASSOC or SE ACC ASSOC (US FUNDS & US BANK ONLY), and mail ALL completed pages to: Karen Adam, FL ACC ASSOC, 2244 Musket Dr., Navarre, FL 32566, so that it is received on or before October 12, 2011.
 
Call FL ACC ASSOC at (850) 936-8722, between 6-7 PM CST, for more info.  FLACCASSOC@bellsouth.net
Comments/questions or additional information:
Attention!! Before you push the SUBMIT ORDER button.. did you include your email address in the box above? If not, the organizers will not be able to contact you.

This submit form comes from the FAA internet website and not your e-mail account, therefore it shows up as a generic online source, and does not show your return e-mail address.
    
 
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