BayConSM 2007 Membership
Form
$45 until 31 Aug 2006
$50 until 31 Oct 2006
$55 until 31 Dec 2006
$60 until 28 Feb 2007
$65 until 30 Apr 2007
$75 until 15 May 2007
$75 at the door
Mail with your check or money order made out
to:
BayCon 2007 • P.O. Box 62108 • Sunnyvale,
CA 94088-2108
| Please Type or Print
Neatly
| Date: |
| Name: |
| Fan Name: (for badge) |
| Business Name: (for
badge) |
| Address: |
| City: |
State: |
ZIP/Postal Code: |
| Phone: |
E-mail: |
_____Privacy request (Do not print my name in
convention publications or on the BayCon 2007 web site)