Polka Lovers Membership

Membership is open to full and temporary residents who live in The Villages, FL.

Dues $15.00 per person per season. Next season new/renewal is open starting in April.

If a current member, please pay the dues before Mid-November.

Complete form and send using “Send Form” below or print and bring to next Polka Lovers event.

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Name *

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Last

Additional Member Name

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Email

Email address is used for newsletter. If you don't want the newsletter, please leave blank.

Contact Phone *

Comment or Message

Your Village Address *

Village You live in: *

Home State

Payment: *

• Pay at next event
• MAIL Payment of check written to Polka Lovers Club to Pat Mason, 3513 Sterling Street, The Villages, FL 32162 Phone: 908-403-6527

Please note: Membership will not begin until payment is received. At that time, you will be eligible for newsletters and membership pricing for dances.

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