MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C850A8.711CCDA0" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C850A8.711CCDA0 Content-Location: file:///C:/50A99145/Preregpage.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PRE-REGISTRATION FORM

 =

PRE-REGIS= TRATION FORM

(must be postmarked by Feb 15)

PERSONAL INFORMATION

(please print clearly)<= /i>

 

Name :      ________________________________

 

Addr= ess:     _______________________________

 

City= :       ___________________________­­­­­­­­= ;­_______

 

Stat= e: _________        Zip: ___________________

 

Phon= e: (       &nbs= p;   ) ____________ - ______________

(Area Code required)

 

E-ma= il:       ________________________________

 

Are you a GM?      √ YES   ◊     √  No  ◊    

 

Gamemasters: Check the appropriate= box

       &nbs= p;            &= nbsp;         above. You are entitled to a

       &nbs= p;          free T-shirt for Game

       &nbs= p;         Mastering 4 events.

 

DON&= #8217;T FORGET TO ORDER YOUR T-SHIRT

 

 

ADULT

Prices

YOUTH

Prices

(Ages 16 and under)

 

TOTAL

 

SPECIAL PASSES

All passes include the cost of registration

 One price-play all weekend.

Board Game<= o:p>

$50.00=

$25.00=

$       &nbs= p;    

Rail Pass=

$50.00=

$25.00=

$

Last Man St= anding

(Sat only)

$20.00=

 =

$20.00=

 =

$

DAILY REGISTRATION COSTS

All prices are for registration costs only.

Event Tickets are separate.

All Weekend=

$30.00=

$15.00=

$

Thursday

$5.00<= /o:p>

$2.50<= /o:p>

$

Friday=

$10.00=

$5.00<= /o:p>

$

Saturday

$10.00=

$5.00<= /o:p>

$

Sunday=

$5.00<= /o:p>

$2.50<= /o:p>

$

 =

TOTAL REGISTRATION COSTS:   $       &nbs= p;    

T-Shirts

(Some sizes are limited so order early)

 

_____ Med ______Large ______1X _____ 2X

______ 3X  ______4X        ______ 5X _____6X

        = ;            &n= bsp;            = ;          <= /span>

Total T-Shirt Cost       &nbs= p;            ( # of shirts x $15.00)       &nbs= p;      $__________

 <= /o:p>

Events Tickets

Please indi= cate the events you wish to play in by EVENT # ONLY.

Choose a se= cond choice should your first choice be sold out or cancelled.

       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         &nbs= p;            First Choice       &nbs= p;            &= nbsp;       Second Choice       &nbs= p;            &= nbsp;      Event Tickets($3.00 each)

Thursday:  Board Game Day Ticket ($5.00)       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           $___________________

          &nbs= p;      1 pm—5 pm    S= lot 1      ________________________           __________________________       &nbs= p;    $___________________= __

       &nbs= p;         7 pm—11 pm Slot 2       ________________________       &nbs= p;   __________________________       &nbs= p;    $___________________= __

       &nbs= p;         11:30 pm—?   Slot 3    &nb= sp;  ________________________       &nbs= p;   __________________________       &nbs= p;    $_____________________ 

Friday:  Board Game Day Ticket ($7.50)               &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;         &nbs= p;            &= nbsp;           $_____________________=

       &nbs= p;         8 am—12 pm  Slot 4      ________________________       &nbs= p;   __________________________       &nbs= p;     $_____________________ 

       &nbs= p;         1 pm—5 pm    Slot 5    &nb= sp; ________________________       &nbs= p;   __________________________       &nbs= p;     $_____________________

       &nbs= p;         7 pm—11 pm  Slot 6      ________________________       &nbs= p;   __________________________       &nbs= p;     $_____________________

       &nbs= p;         11:30 pm—?    Slot 7    &nb= sp; ________________________       &nbs= p;   __________________________       &nbs= p;     $_____________________ 

Saturday: Board Game = Day Ticket ($7.50)       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;              $______________= _______

       &nbs= p;         8 am—12 pm   Slot 8     ________________________       &nbs= p;   __________________________       &nbs= p;      $______________= _______ 

       &nbs= p;         1 pm—5 pm   =   Slot 9     ________________________       &nbs= p;   __________________________ &= nbsp;            $____________________= _

       &nbs= p;         7 pm—11 pm   Slot 10  ____________= ____________       &nbs= p;   __________________________       &nbs= p;      $____________________= _

       &nbs= p;        11:30 pm—?     Slot 11   ________________________       &nbs= p;   __________________________       &nbs= p;      $____________________ 

Sunday: Board Game Day Ticket ($5.00)       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;                 $__= ___________________

       &nbs= p;        8 am—12pm    Slot 12    ________________________       &nbs= p;   __________________________       &nbs= p;      $____________________ 

       &nbs= p;       1 pm—5 pm      Slot 13<= span style=3D'mso-spacerun:yes'>    ________________________       &nbs= p;   __________________________       &nbs= p;      $____________________ 

       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;     Generic Tickets ___________  (# tickets x $3.00)       &nbs= p;             $____________________

 

To pay by C= redit Card, please fill out

(Master Card and Visa only please)

Card Number: _____________________________________

Exp Date ____________= ___ Sec # (on back) ___________

Signature: _________________________________________

 

TICKET Total       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;              $

REGISTRATION TO= TAL (from above)              $

T-Shirt Total (= from above)       &nbs= p;            &= nbsp;           &nbs= p;   $

TOTAL AMOUNT PAYABLE:       &nbs= p;            &= nbsp;           $

(Allow 72 hours for receipt of payment)<= /span>

Make Checks Payable to: Total Confusion Gaming Convention

Mail form and payment to:

Total Confusion Gaming Convention, PO Box 70585, Worcester, MA 01607<= /o:p>

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