Florida Accordion Association SMASH 2012, On-line Registration Form
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Please complete and submit this form, or print and mail with payment by October 18, 2012. 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 9, 10, 11, 2012

Holiday Inn - Orlando International Airport
5750 T.G. Lee Blvd, Orlando, FL 32822
 
Phone: 407-851-6400 for HOTEL reservations & Free shuttle ONLY
(Mention Florida Accordion Association for discounted room rate of $82.00+ tax, single to quad)
 
Hotel reservations due to hotel by 10/18/12 for this rateCheck in: 4:00 PM, Check out: 11:00 AM
 
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 18, 2012
 
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 2012 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 18, 2012
  Name Price Total Due
Member Name $135.00 $
Member Spouse $135.00 $
Non-member Name $145.00 $
Non-member Spouse $145.00 $
Late Reg. Fee per person after 10/18/2012 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 $
I/we will be attending Lovello's 80th birthday celebration in the Bristol Cafe, AFTER the Saturday evening concert, at approximately 9 PM, complete with birthday cake & entertainment!

Yes No Number
Note: All meals include tax & gratuity
Friday, November 9th - 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 10th - 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 2012 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:
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:
 $
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 18, 2012.
 
Call FL ACC ASSOC at (850) 936-8722, between 6-7 PM CST, for more info: ibqueen1957@yahoo.com
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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