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 ConFusion 2007 Pre-Registration Form 
Please send one form per person registering.
Thanks! 
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	Registration Rates 
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	Postmarked by 
	
		(Not set)
	
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		At the Door 
	
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	Adults
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	$30
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	$45
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 	KidFusion
	(12 and under)
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	$20
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	$25
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 	Kids Pizza Party 
								Kids Pajama Party
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	$5 
		$10
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	(same)
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		Membership Type
	 
       [ ] Adult 
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 [ ] Kidfusion 
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	Kids In Tow - Children ages 5 and under who stay with their parents at all times do not need memberships. 
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		Membership Information
	
 
|   |  
| Name: | 
____________________________________________________ | 
 
|   |  
| Address: | 
____________________________________________________ | 
 
|   |  
 | 
____________________________________________________ | 
 
|   |  
| City: | 
____________________________________________________ | 
 
|   |  
| State/Province: | 
________________   Zip/Postal:__________________________ | 
 
|   |  
| Date of Birth: | 
____ /____ /____    Phone number:(_____)__________________ | 
 
|   |  
E-mail:  
(optional)
 | 
____________________________________________________  
check here [ ] if you don't want to receive email about the convention
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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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