Check or Money Order number

NekoCon 11 - Single Membership Form. This form is good through Tuesday September 30th, 2008 ONLY!

Please fill out form BEFORE printing to avoid errors in data entry.

   
First Name Middle Initial
Last Name
Name on Badge (Leave blank for First Name, Last Name)
Address
City
<--State <--Zip Code
Email Address

Are you 18 years of age or older? Yes No

How will your Neko-Con membership be listed?

Have you attended Neko-Con before?

I'm interested in Volunteering and helping out at Neko-Con
I'm interested in passing out Neko-Con flyers to anime clubs, comic book/anime stores in my local area.

When you are finished, PRINT THIS PAGE and mail it to the following address with your check,
money order or certified check (made payable to NekoCon) to:


NekoCon
Attn: Memberships
PO BOX 8486
Virginia Beach, VA 23450-8486

Concerning envelopes
Do Not:
*Send your membership forms through in a way that requires us to go to the counter to pick it up. This will delay your confirmation significantly!
*Send cash.
*Staple your check to this form.