Polka Lovers Membership

Polka Lovers Club Membership Season is from January to December

Current membership is open for the 2027 season.

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

Dues $15.00 per person per season.

Check payable to “Polka Lovers Club” to Pat Mason, 3513 Stirling Street, The Villages, FL 32162

Current members only need to send a check or bring to club for payment.

New Members, please fill out the form or print bringing to dance. .

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Name *

First

Last

Nickname

Nickname will be used for badge.

Additional Member Name

First

Last

Nickname (Member #2)

Nickname will be used for badge.

Email

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

Alterntive Email

Contact Phone *

Comment or Message

Your Village Address *

Village You live in: *

Home State

Date:

MM/DD/YYYY

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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