Conjuration
Science Fiction and Fantasy Convention
June 15, 16 & 17 2001

P.O. Box 874
Columbia, MO 65205-0874

Art Show Registration Form

Phone ( _____ ) _____ - ____________

  Date _____ / _____ / _______

Name _____________________________________________________


Address ___________________________________________________


City ____________________________
State ______
Zip ________


Number of Panels  ______________


Number of Tables  _________


E-Mail Address  _____________________________________________


If attending Conjuration, please check here  |____|

Our phone number for Art Show information is (314) 645-0686 (Janice Jacquin). We do not accept collect calls. Please call between 8:30 and 10 p.m. CST if possible.