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Address? City, State and Zip? E-mail address? Telephone Number? Age? Height? Weight? Athletic Background? Total price for the week is $995. Deposit $150.00 included (Check or money order made out to Dory Funk) (Mark with X) Balance due on arrival $845.00 Price includes Hotel, Breakfast, Transportation from Orlando Airport
to the Funking
Please indicate the dates you would like to attend? Year 2003 One Week Program Funking Conservatory Dates: Jan 21 - 26
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