BayCon 2001 Membership Form
$50 until 31 Aug 2000 • $55 until 30 Nov 2000
$60 until 28 Feb 2001 • $65 until 30 Apr 2001
$70 at the door



Mail with your check or money order made out to:

BayCon 2001 • P.O. Box 610427 • San Jose, CA 95161-0427


Please Type or Print Neatly Date:
Name:
Fan Name: (for badge)
Business Name: (for badge)
Address:
City: State: ZIP Code:
Phone: E-mail:


I would like to receive more information on (circle all that apply):


Art Show Artist’s Alley Dealer’s Room Gaming


_____Privacy request (Do not print my name in convention publications or on the BayCon 2001 web site)