Albacon Logo: Meteor with Albacon 2004 Text Albacon 2004
Science Fiction Convention
October 8 - 10, 2004
Columbus Day Weekend
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Registration

Online Registration Form

Please fill out a separate form for each person. You must include a "Zip Code" OR a "Postal Code" as appropriate, not both.

* Fields in bold red are required.

First Name:
Middle Name or Initial:
Last Name:
Badge Name:
Street Address:
City:
State:
Zip: -
Postal Code:
(For Non-US Addresses.)
Country:
Phone:
Email:
Web Site:
Would you like to volunteer for the convention?
    Yes   No
Would you like information on Albacon sent to you via Email?
    Yes   No
How did you find out about Albacon?
    (Check all that apply.)
    At another convention. If so, which one?
    A publication. If so, which one?
    A friend.
    Previous Albacon.
    Other. Please Comment:
What type of membership would you like?
    (Prices good through Albacon (At The Door)!)
    Full Membership ($50; All Events)
    Friday Only ($25; All Events)
    Saturday Only ($30; All Events)
    Sunday Only ($25; All Events)
    Gaming Only ($20; All Weekend; Gaming and Dealers Only)
    Child Membership ($30; Age 7 - 12; All Events; Accompanied)
            If so, what is the kid's age?
    Kid In Tow Membership (FREE; Under Age 7; All Events; Accompanied)
            If so, what is the child's age?
    SFWA Member (FREE; All Events)
    WorldCon Chair (FREE; All Events; Chair of Convention, Not Committees)
            If so, which WorldCon?
    WorldCon Guest of Honor (FREE; All Events)
            If so, which WorldCon?
    Valid Non-North American Passport (FREE; All Events)
            Passport must be presented when you pick up your badge.
What is your preferred method of payment?
    Check/Money Order (U.S. Funds)
    Cash On-Site (Canadian Funds; Canadian Residential Citizens Only)
    I prefer to mail in my payment AND my information. Please give me a formatted page to print and mail. If you use this option, we will not record your registration information on this site.
   
 

Once you have printed your completed form, mail it with your check or money order (no cash please) to:

Albacon 2004 Registration
P.O. Box 2085
Albany, NY 12220-0085
USA.

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This page last updated August 4, 2004 8:50 AM.