Make check/money order payable to "FACT/World Fantasy Convention". Please don't mail cash.
Name(s): _______________________________________________________________ Badge Name (if different): _____________________________________________ Address: _______________________________________________________________ ________________________________________________________________________ City: __________________________ State: ______________ Zip: ____________ Country: ______________________ Phone number: __________________________ Email Address: _________________________________________________________ Send me information about (circle all that apply). (Pease enclose a SASE for requests.) Advertising Art Show Baybsitting Dealer Tables Volunteering _____supporting memberships @ $35.00 = $_____ Can not attend but will receive all mailings and ballots Limited to 850 attending members. _____attending memberships @ $150.00 = $_____ (after 10/15/00) One-Day Memberships are prohibited under World Fantasy Convention Rules.Mail to: WFC 2000, PO Box 27277, Austin TX 78755.
Name______________________________________
Circle: VISA MASTERCARD AMERICAN EXPRESS
Number:_____________________________________ Expiration Date:________
Signature:______________________________________________
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