| And I want |
__________ T-shirts at $18 ea. Size: _______ (M, L, XL, 2XL, 3XL are available and will be supplied with your pre-reg pack)
Shirt Color ___ White ____ Black
(if ordering multiple shirts for people, tell us who gets what size!)
|
| FULL NAME |
_________________________________________________________________
If you are buying more than one membership, please give us full names of ALL persons attending. Use extra paper if necessary (or use additional forms) and please PRINT or TYPE CLEARLY). Multiple membership orders WITHOUT names for everyone cannot be process
REAL NAME: _______________________________________________________
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 21
SEND TO: Phoenix Entertainment 3000 Custer Rd., Ste 270-337 Plano, TX 75075
-----------------------------------------------------------------------
You are subscribed to the A-Kon®/Phoenix Entertainment text-only, opt-in announcements newlsetter. We never send spam, we only send convention information and announcements for A-Kon® anime convention, AnimeDay (a 1-day mini-con) and Itzacon, our sci-fi/fantasy/anime/general media show. We never give out or sell our list to any 3rd parties, or use any attachments. To unsubscribe go to www.a-kon.com - you can do it from the homepage.
|