MidSouthCon Registration Form

Past MSCs

MSC 27 Online Registeration Form

Please fill out the following information. After you submit the form you will be able to access our paypal shopping cart.

Have you been to MSC before?	Yes No
First Name
Middle Name
Last Name
Suffix
Age (mm/dd/yy)
Country
Address line 1
Address line 2
City
State
Zip Code
Zip +4
Postal Code
E-mail address
Phone number
Name on Badge

I am only coming to the Free education seminar!
Other Information - Note: if you are paying for more than one membership please list their names, birthdates and contact information here.

You come to MidSouthCon for the: (check all appropriate boxes) Guests Panels Gaming Art Show Masquerade Video Room Anime Room Con Suite Dealer's Room Banquet Science Educational Seminar Comics Filk/Music