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CONSUME/RELAXACON Registration

2005 Registration Rates

Adults: $25 until March 15st
$35 until October 7th
$45 at the door
Supporting:$5 until October 7th - (Converting: $30)
One Day: $20 (any 24 hours)
Teens (11-16):  $15
Kids under 11:  Free (when accompanied by an adult)
Yum! $5.00 off if you make a dish to share at the con (enough for a bunch o'fen!).

 

Name ___________________________________________________________________

Address ________________________________________________________________

City______________________State___________Zip________Country______________

E-mail_________________________Phone________________

I'm a(n):
Carnivore___ Omnivore___ Vegetarian___ Vegan___

Food allergies ____________________________________________________________
____________________________________________________________________________

Yes, I want to help at the convention_________

Membership(s) (include number of registrations, registration catagories and names of registrants). Please write so we can read it, and use a separate piece of paper if you need more space.

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Amount Enclosed_______________________

Print this page (or make some reasonable fascimile) and fill out the form. Mail to:
Rick Gellman
1105 Bellecrest Drive
Maplewood, Minnesota 55109-1902