World Fantasy Convention 2000 Membership Registration

To purchase a World Fantasy Convention 2000 membership, complete this form and mail it to: WFC 2000, PO Box 27277, Austin TX 78755.

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.
If using a Credit Card, complete the following:
          Name______________________________________
     
          Circle: VISA   MASTERCARD    AMERICAN EXPRESS
     
          Number:_____________________________________  Expiration Date:________
   
          Signature:______________________________________________

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World Fantasy Convention 2000 is sponsored by the Fandom Association of Central Texas, Inc (F.A.C.T.), a literary non-profit 501(3)(c) corporation
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