Synthetic ConFusion Pre-Registration Form
Please send one form per person registering. Thanks!

Registration Rates
Postmarked by
Dec 31, 2005
At the Door
Adults $30 $45
KidFusion (12 and under) $20 $25
Kids Pizza Party
Kids Pajama Party
$5
$10
(same)

Membership Type
       [ ] Adult

[ ] Kidfusion
Kids In Tow - Children ages 5 and under who stay with their parents at all times do not need memberships.

Membership Information
 
Name: ____________________________________________________
 
Address: ____________________________________________________
 
____________________________________________________
 
City: ____________________________________________________
 
State/Province: ________________   Zip/Postal:__________________________
 
Date of Birth: ____ /____ /____    Phone number:(_____)__________________
 
E-mail:
(optional)
____________________________________________________

check [ ] if you don't want emails about the convention


Please send me information on:
  [ ] Volunteering
  [ ] Room Party Contest
  [ ] Art Show
  [ ] Dealer's Room
  [ ] Being on Programming
  [ ] Masquerade


Payment Information

Make checks payable to AASFA and mail to:

ConFusion 32
P.O. Box 8284
Ann Arbor, MI 48107