Polka Lovers Membership

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

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

Dues $10.00 per person (paid by November 30th) per season 

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Name *

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Last

Additional Member Name

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Last

Email *

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 Kym Lenkus 17675 SE 84th Peyton Ct, The Villages, FL 32162, Phone - 352-777-9065

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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