| ODD CON 2009 REGISTRATION FORM
Name(s): _______________________________________ ________________________________________________ Name(s) to put on badge(s): ____________________ ________________________________________________ Address: _______________________________________ City/State/ZIP: ________________________________ Phone # ________________________________________ E-Mail(s) ______________________________ |
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| Adult - until 4/3/09* | 35.00 each | ______ |
| Student - until 4/3/09** | 25.00 each | ______ |
| Youth: ages 6-12 - until 4/3/09*** | 15.00 each | ______ |
| Day Pass: | 20.00 each | ______ |
| *Adult rate $45.00 at door | ||
| ** Student Rate (valid with student ID presented at door) $35.00 at door | ||
| ***Children under 6 - free. Dealers pay full adult membership. There is no gaming rate. | ||
| Dealer's Tables (6')*** | $30 each, max 3. | ______ |
| T-shirts (M - circle: Imperial Yellow or light gray) | 12.00 | ______Yellow/Gray |
| T-shirts (L - circle: Imperial Yellow or light gray) | 12.00 | ______Yellow/Gray |
| T-shirts (XL - circle: Imperial Yellow or light gray) | 12.00 | ______Yellow/Gray |
| T-shirts (XXL - circle: Imperial Yellow or light gray) | 14.00 | ______Yellow/Gray |
| T-shirts (XXXL - circle: Imperial Yellow or light gray) | 14.00 | ______Yellow/Gray |
| TOTAL | ______ | |
| *All Children Must be Accompanied by an Adult | ||
| **T-shirts feature design above. | ||
| Make Checks Payable to 'Odd Con' and mail to: Odyssey Con, P.O. Box 7114, Madison WI 53707 | ||