Registration and pay by mail

Registration form
RevelCon prices valid through January 31, 2009:

INCENTIVE!! All I want for Christmas is... more MEN at Revelcon. So, as a stocking stuffer, if you bring a guy (as in a person of the male persuasion), HE will get $10 off his membership and YOU will also get $10 off your membership.

Revelcon is an adults-only/18-and-over con - please provide your date of birth.

Your Full Name	*
Your Date of Birth	* (mm/dd/yyyy)
Your Phone Number
Your Email Address	*
Street Address
City, State, Zip	, ,
Membership Type	$75 - Full membership$110 - Dealer membership$35 - Friday only$40 - Saturday only$25 - sun $10 - Supporting Full - $75.00 Dealer - $110.00 (membership and one 6-ft table) Friday only - $35.00 Saturday only - $40.00 Sunday only - $25.00 Supporting - $10.00 (non-attending, but entering art or vids)
Payment Information	checkcashpaypalmoney order Check, cash, or money order
Notes, Special Requests, Questions, etc
Check if you are a previous member of REVELcon
Mail payments to: E.D. Pearlman (Revelcon 2009), PO Box 130602 Houston, TX 77219-0602. Make checks payable to: E.D. Pearlman.