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REGISTRATION FORM

“Limited Availability” Reservations are Required

(We won’t over-sell the Dance Floors)

__Indianapolis Festival $750 / couple Extra Nights Accommodations before and after the Indy Festival Dates are $165 per night.

       August 13, 14 & 15, 2017                        Check in Date:___/___/____ Check out Date:___/___/____ # of extra nights ___x $165 = $____

                                                                                                                                         Total Indianapolis Package $_____

“Single” or “Modified” Packages and Group Rates are available…Call for pricing.

Name_________________________________________ Address_________________________________________________________

City, State, Zip_________________________________________            Phone# (____) _____________________

Amount Enclosed $_________ ($200 deposit) or Full payment less Discounts

Charge to my AmEx, Visa, Master Card or Discover (circle one) #_______________________________________Expiration Date __/__

Signature____________________________________________  E-mail_________________________________________________

Seat me with at Indianapolis __________________________________________________________________________________________

________________________________________________________________________

Mail to: Southern Rhapsody Dance Society, PO Box 87, Pleasant View, TN 37146-0087

Telephone Reservations: 877-212-6555 toll free (9am-9pm CST,M-F)   OR   Fax Reservations to: 615-746-9755 anytime.

DO NOT  E-MAIL Credit Card Numbers

“Early Bird Discount”
To show our appreciation of your continued support we are continuing the Early Bird Discount. The Deadline is March 1, 2017.

It’s real simple.

All you have to do is call in or mail in your reservation along with your $200 deposit for the Dance Festival
  by March 1, 2017
and you will receive a $35 credit against the remaining balance for
  the festival. Get your reservations by March 1st and
SAVE $35.

Please read the Cancellation Policy and Check the box below.

  • Should any dance be cancelled by Southern Rhapsody Dance Society for any reason a full refund of monies paid
    will be given.
  • If a “Reservation” is cancelled by the participant 30 days or more previous to the dance date, we will refund the
    amount paid less a $25 processing fee.
  • If a “Reservation” is cancelled by the participant 29 days or less from the dance date, we will apply the amount paid
    to any future dance.
  • ONLY EXCEPTION: Cancellation due to a Death in the immediate family.(spouse, father, mother, brother, sister,
     son or daughter)
  • Reservations are “Transferable”.
  • Check here: ____ I have read and understand the cancelation policy.