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:
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I would like to receive more information on (circle all that apply):
Art Show
Artists Alley
Dealers Room
Gaming
_____Privacy request (Do not print my name in convention publications or on the BayCon 2001 web site)