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 8 ($320)

All Fields Below Are Required before you can make your reservation!

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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." 

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• 1-800-HELP-FLA (435-7352)

• www.FloridaConsumerHelp.com

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