World Fantasy 2010 Registration

First Name:   Middle:   Last:

Name for your badge:

Full mailing address:

Telephone number:

Email address:

Would you like us to link your name to your website on our online Membership List?
If so, please provide the Web address of your site here:
(If you do NOT want your name listed AT ALL on our site, put NOLIST in the box above. If you wish to be listed but unlinked, leave the box blank.)

Please check off items of interest:
Volunteering Exhibiting in the Art Show Selling in the Dealers' Room
The Awards Banquet Child Care Tourist Excursions

Convention Registration: Attending Membership ($165) Supporting Membership ($35) (Publications and Voting Only) Already Paid/Registered ($0) (for banquet tickets and/or art show fees only)

Banquet Ticket: No Ticket Beef Entree ($55) Chicken Entree ($55) Salmon Entree ($55) Vegetarian Entree ($55)

Art Show Fees:
(Do NOT pay these until you have passed the jury process!)
No Art Panels 4'x3' panel ($30) one 4'x6' panel ($60) two 4'x6' panels ($120) three 4'x6' panels ($180)
No Art Tables quarter table ($15) half table ($30) one 6'x3' table ($50) two 6'x3' tables ($100)
No Prints one print ($1) two prints ($2) three prints ($3) four prints ($4) five prints ($5) six prints ($6) seven prints ($7) eight prints ($8) nine prints ($9) 10 prints ($10) 11 prints ($11) 12 prints ($12) 13 prints ($13) 14 prints ($14) 15 prints ($15) 16 prints ($16) 17 prints ($17) 18 prints ($18) 19 prints ($19) 20 prints ($20) 21 prints ($21) 22 prints ($22) 23 prints ($23) 24 prints ($24) 25 prints ($25) 26 prints ($26) 27 prints ($27) 28 prints ($28) 29 prints ($29) 30 prints ($30) 31 prints ($31) 32 prints ($32) 33 prints ($33) 34 prints ($34) 35 prints ($35) 36 prints ($36) 37 prints ($37) 38 prints ($38) 39 prints ($39) 40 prints ($40) 41 prints ($41) 42 prints ($42) 43 prints ($43) 44 prints ($44) 45 prints ($45) 46 prints ($46) 47 prints ($47) 48 prints ($48) 49 prints ($49) 50 prints ($50) 60 prints ($60) 70 prints ($70) 80 prints ($80) 90 prints ($90) 100 prints ($100)

      Total Payment =