AdamCon 0Ch Registration Form
Dinosaurs into the new Millenium
Please fill out this form and submit it by mail with a registration fees
in US or Canadian funds. US prices are marked with $US and Canadian prices are marked with $CA.
AdamCon runs from July 20 evening to July 23. Accomodations include Thursday
night through Sunday night. For extra days, please phone me at 416-225-5884
for pricing.
Lunch is provided with full attendee and a day pass. Spouses get breakfast and the banquet.
Name: _____________________ Spouse or Roommate: _____________
(if sharing)
Address: ____________________________________________________
Arrival: _______________ Departure: ____________
AdamCon registration:
Full attendee (4 nights, 3 bkfst,
3 lunch, banquet) ______ x $300US = ______
$420CA
Private room ______ x $160US = ______
$224CA
Spouse (4 nights, 3 bkfst,
banquet) ______ x $200US = ______
$280CA
Day pass (includes lunch) ______ x $40CA = ______
Banquet only ______ x $50CA = ______
AdamCon T-shirts: size ______ size ______ x $10US = ______
( S M L XL XXL 3XL 4XL ) $14CA
AdamCon hats: ________ x $6US = ______
$9CA
Total due: ______
Payment 1: ______
Full payment is due June 30. Make checks payable to "AdamCon 12."
Please send this form and payment 1 to:
Dale Wick
347 Hounslow Ave.
Toronto, ON Canada
M2R 1H4
dmwick@home.com
416-225-5884 (home) or
416-451-2697 (cell/work) |
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Send feedback to Dale Wick (dmwick@home.com)
