Place: The Austin Hotel & Convention Center

305 Malvern Ave., Hot Springs, AR 71901

Tickets are non-refundable but can be transferred by contacting Linda Sluppick or Beth Terauchi.

Please Note: No tickets will be mailed; your name will be on a list at the registration desk and checked off at registration. If you would like confirmation by mail, please enclose a SASE with your ticket order. If you would like to receive confirmation by e-mail, please include your e-mail address on the application.

If you have any questions you can e-mail Linda Sluppick at spacitydancer@gmail.com or call (501) 617-2843 or contact Beth Terauchi at (501) 318-1373.
Please make Checks or Money Orders payable to: Spa City Bop & Swing Dance Club and mail to:
Spa City Bop & Swing Dance Club, Attention: Linda Sluppick, PO Box 20637, Hot Springs, AR 71903

DANCIN’ IN THE PARK 2009

TICKET ORDER FORM

One check for $450.00, before April 1, 2009, reserves your table for 10 people!

April 1, 2009 & later, one check for $550.00 reserves your table for 10 people!

Individual tickets can be purchased at the below ticket prices.

Please complete all information below on any person purchasing a ticket.

No. Tickets Purchased @ $45 (Before April 1, 2009): ___ Tickets Amount Enclosed: $_______

No. Tickets Purchased @ $55 (April 1, 2009 & after): ___ Tickets Amount Enclosed: $_______

Name: ____________________________________

Address: __________________________________

City, State, Zip: _____________________________

Club Affiliation: ____________________________

Email Address: _____________________________

Name: _____________________________________

Address: ___________________________________

City, State, Zip: ______________________________

Club Affiliation: _____________________________

Email Address: ______________________________