HARBORSIDE BANJO BASH
February 18th, 19th, and 20th 2010
Charlotte County Event Center
Punta Gorda, FL
Name;____________________________________________________________
Spouse/ Guest;_____________________________________________
Address;__________________________________________________________
City, State, Zip:_____________________________________________________
Phone;____________________________________________________________
Date of arrival _____________________________________________________
Do you plan on performing? ________________
(NOTE: AS OF 1/11/2010 WE ARE NO
LONGER ACCEPTING PERFORMERS FOR THIS EVENT AS WE NOW HAVE A
FULL PROGRAM. WE WILL TAKE YOUR NAME SHOULD WE HAVE ANY
CANCELLATIONS. THANK YOU FOR YOUR UNDERSTANDING.)
Are you part of a large performing group? _________ How manyMembers? ___
Do you need display space? ______ How many Tables?___________________
Registration $25.00, $5.00 for spouse or guest.
Kindly return this form with your registration check payable to;
Gulf Coast Banjo Society
P.O. Box 330
Placida, FL 33946