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ConFusion 2004 Pre-Registration Form
Please send one form per person registering.
Thanks!
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Registration rates
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Postmarked by
10/1/2003
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Postmarked by
12/1/2003
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At the Door
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Adults
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$25
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$30
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$35
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KidFusion
(12 and under)
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$15
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$15
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$20
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Kids In Tow
Children ages 5 and under who stay with their parents at all
times do not need to purchase memberships.
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Membership Type
[ ] Adult
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[ ] Kidfusion
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Membership Information
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| Name: |
____________________________________________________ |
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Badge Name:
(optional) |
____________________________________________________ |
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| Address: |
____________________________________________________ |
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| Address: |
____________________________________________________ |
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| City: |
____________________________________________________ |
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| State/Province: |
________________ Zip/Postal:__________________________ |
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| Date of Birth: |
____ /____ /____ Phone number:(_____)__________________ |
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E-mail:
(optional) |
____________________________________________________ |
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Please send me information on:
[ ] Volunteering
[ ] Room Party Contest
[ ] Art Show
[ ] Dealer's Room
[ ] Being on Programming
[ ] Masquerade
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Payment Information
Make checks payable to AASFA and mail to:
ConFusion
P.O. Box 8284
Ann Arbor, MI 48107
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Thanks, and we'll see you soon for ConFusion's
30th Birthday!
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