Memphis, TN March 20-22, 2009
Your real name _______________________________________________Age_________
Name on badge(if different from above) ______________________________________________
Street Address_________________________________________________________
City __________________________State ____ Zip ____________
Phone_________________________ E-mail______________________________
Attended MidsouthCon before? Yes____ No____
You come to MidSouthCon for the: (check all appropriate)
Guests __ Panels __ Art Show __ Masquerade __ Video Room __
Gaming __ Anime Room __ Con Suite __ Dealer's Room __ Banquet __
I would like to Volunteer to help out at MSC 27 Yes____ No____
(experience not needed, on-the-job training provided)
Adult Registrations:____ @ $_____ Total$_________
($35.00 until 12/01/08, then $40.00 until 03/01/09, and $45.00 thereafter and at door)
Child Registrations (half adult price):____ @ $_____ Total$_________
Con Suite Giveaway:____ @ $5 Total$_________
Banquet:____@ $20 Total$_________
Total Enclosed$ _________________
If you are paying for multiple registrations please use mulitple forms or fill in the names and date of birth of the other attendees on the back of this form.
Note: Mailed in Registrations must be received no later then March 10th 2009.
Make checks or money orders payable to:
MidSouth Science & Fiction Conventions, Inc.
Mail to: MidSouthCon
P.O. Box 17724
Memphis, TN 38187-0724