A-Kon 27 Mail in Form


Just print this form. Fill this form out, and then mail it to:Phoenix Entertainment 3000 Custer Rd., Ste 270-337 Plano, TX 75075
SEND ME ___________ A-Kon ® 27 Memberships at $48.75 each. (make checks payable to “Phoenix Entertainment/A-Kon 27”)
And I want __________ T-shirts at $20(S,M,L,XL) ea. Size: _______ $21.00(2XL, 3XL)ea. Size: _______ $22.00 (4XL)(are available and will be supplied with your pre-reg pack)
Shirt Color ___ White ____ Black ____Other(if ordering multiple shirts for people, tell us who gets what size!)
If you are buying more than one membership, please provide us full names, as well as full contact information, on ALL persons attending. Use extra paper if necessary (or use additional forms) and please PRINT or TYPE CLEARLY. Multiple membership orders WITHOUT names and contact information for EVERYONE CANNOT be processed.Not providing full contact information WILL result in the individual paying the FULL PRICE for registration at the door, since the registration can not be fully processed without the information.
NICKNAME FOR BADGE (max. 18 letters No profanity or naughty words)
US Standard Letters or Numbers Only (no symbols or characters)
ADDRESS: ________________________________________________________________________ APT:
CITY:_____________________________________STATE ______ZIP __________
EMAIL:________________________________________________AGE _________
MAKE CHECKS PAYABLE TO: Phoenix Entertainment/A-Kon 27
SEND TO: Phoenix Entertainment 3000 Custer Rd., Ste 270-337 Plano, TX 75075
———————————————————————–You will be subscribed to A-Kon’s text-only newsletter. We never send spam and we do not send attachments. We only send convention information and announcements for the A-Kon anime convention or any other events that our parent organization, Phoenix Entertainment, may host. We will never sell your information to any third parties. To unsubscribe from the newsletter, please go to our website at www.a-kon.com.