Complete this form and mail it, along with your membership check payable to 
Minicon (in US currency on a $US account), to:
						Minicon 36
						PO Box 8297 
						Lake Street Station 
						Minneapolis, MN 55408

Minicon 36		Until			Until		At the Door
Membership Type:	15 Nov 2000	   15 Mar 2001
[_] Attending		$30			$40		$70
[_] Child Attending	$15			$15		$30
   (12 and under)
[_] Supporting		$15			$15		NA


Additional "friends of" memberships:
# _____ Attending @ $_______ = $________
# _____ Supporting @ $_______ = $________

Memberships are transferrable, but are not refundable.                  


First Name__________________________ Middle Initial/Name__________________
      
Last Name ________________________________________________________________

Address 1 ________________________________________________________________

Address 2 ________________________________________________________________

City__________________________ State/Province_____________________________
 
					    Zip/Postal Code_______________
Country (if not USA) ___________________________


 == Optional Information:

E-mail __________________________________________________________________

Home Phone_________________________ Work Phone___________________________

Cell Phone/Pager__________________________ Fax___________________________ 

Preferred time and method of contact_____________________________________


 == Optional Name Badge Information(*):

PRIMARY name ____________________________________________________________

SECONDARY information ___________________________________________________


Please send me:
[_] Program participation info
[_] Art Show exhibit info
[_] Hucksters’ room info
[_] Child care info


 == Please Volunteer!

Pre-con (up to the Wednesday before the convention):
[_] Phoning other volunteers
[_] Mailing Parties
[_] Pretty much anything that needs doing	_____________________________
[_] Badges & Signs				Special skills / experience:
[_] Data Entry
Thursday Night work party:
[_] Collating	
[_] Consuite Setup				Preferred department(s):
[_] Assembly of Art Show Panels
[_] Pretty much anything that needs doing
[_] Hauling					Anything else you want us to know:
At the convention:
[_] Badgers
[_] Consuite
[_] Working the Tables
[_] Pretty much anything that needs doing
[_] Gophers
Teardown (dismantling, hauling, cleaning):
[_] Sunday					Minicons attended:
[_] Monday

(*)Optional Badge Information Notes:

The primary name will be in larger type and more prominently located on your badge.

The secondary information will be in smaller type (still intended to be legible at 6 feet),
and less prominently located. It can be left blank.
This is a good place for your e-mail address or ICQ #, if you want people you know
from on-line to spot you, or other information you want people to recognize you by --
are you here representing a Worldcon bid, a publisher or magazine, or a bookstore?

NOTE: Either the primary or secondary field must contain a form of your full name
(not just first name); if you don't put it in, we will. A fannish use name, even if 
unrelated to your legal name, is okay (but may need to be documented).

In addition, your city and state will appear on the badge. Bunches of conventions do this.
We like it. We thought we'd do it, too.

If you have special needs regarding your badge, please write and tell us.