Please submit the information requested below. Once the form is filled out and submitted you will be taken to the page to purchase your reservation online.
Price of the ticket ($40) and a table of 10 ($400)
All Fields Below Are Required before you can make your reservation!
If you would like to print out the reservation form and mail it in with a check you can click the More page
"A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE."
• 1-800-HELP-FLA (435-7352)