ALBACON 2004 Pre-Registration Form
Columbus Day Weekend
10/8/2004 – 10/10/2004

(Circle Your Choice)
Registration Postmarked by March 31, 2004
Full Membership                    $35
Gaming Membership                  $15
Friday Membership                  $25
Saturday Membership                $30
Sunday Membership                  $25
Children's Membership*             $20
Kid In Tow Membership*             FREE
WorldCon Chairman*                 FREE
WorldCon Guests of Honor*          FREE
SFWA Members                       FREE
Valid Non-North American Passport  FREE

Registration Postmarked by September 15, 2004
Full Membership                    $40
Gaming Membership                  $15
Friday Membership                  $25
Saturday Membership                $30
Sunday Membership                  $25
Children's Membership*             $25
Kid In Tow Membership*             FREE
WorldCon Chairman*                 FREE
WorldCon Guests of Honor*          FREE
SFWA Members                       FREE
Valid Non-North American Passport  FREE

Registration Postmarked by At The Door
Full Membership                    $50
Gaming Membership                  $20
Friday Membership                  $25
Saturday Membership                $30
Sunday Membership                  $25
Children's Membership*             $30
Kid In Tow Membership*             FREE
WorldCon Chairman*                 FREE
WorldCon Guests of Honor*          FREE
SFWA Members                       FREE
Valid Non-North American Passport  FREE
* For a Kid In Tow or Child Membership please provide their age.  For WorldCons, 
please provide the year.  No Mail Registrations after September 13, 2004! Canadian 
residents may pay for memberships using Canadian currency (cash only) at face value 
(on par) in person.  Indicate on this form if you will be paying in Canadian currency 
at the convention.  Please do not send cash through the Postal Service (either 
Canadian or US). 

*** Please Print Clearly ***
Mail with CHECK or MONEY ORDER to Albacon 2004, PO Box 2085, Albany NY 12220-0085.

Date:         ______________
Name:         _____________________________________
Badge:        _____________________________________
Address:      _____________________________________
              _____________________________________
City:         __________________  State:   ____
Zip+4:        _____ - ____        Country: ________
Postal Code:  _________________________
Phone:        _____________________________________
E-Mail:       _____________________________________
Website:      _____________________________________
Would you like to volunteer for the convention?              Y / N
Would you like information on Albacon sent to you via Email? Y / N
How did you find out about Albacon?
        ___ Another Convention      ___ Publication (_______________)
        ___ Previuos Albacon        ___ A Friend        ___ Other
Age of Child or Kid In Tow (if applicable):  <1  1  2  3  4  5  6  7  8  9  10  11  12
WorldCon Referenced (if applicable):         ________