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Print this form, fill it out, and mail it with your check to the address below.

Make checks payable to:
Rick Gellman
1105 Bellecrest Drive
Maplewood, MN 55109-1902
How Much?
Adults:$30 'til October 1st
$35 at the Con
Children 10 and under (and under parental control):FREE
Teens (11-16):$15
Other Rates:
Supporting Memberships:$5
Converting to Attending:$20
One-Day Memberships:$20 (24 hours)
One-Night (PARTY) Memberships:
(Actually any 12-hour period, we're not fussy.)		$15 (7pm-7am)
NAME
 

ADDRESS
 

CITY, STATE ZIP
 

E-MAIL
 

PHONE NUMBER
 

MEMBERSHIP(S) (Number and kinds of)
 

AMOUNT ENCLOSED
 

This page created by: Kevin G. Austin kaustin@tiny.net