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

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

Group Registration Form
( 9 registrations or more)

Phone ( _____ ) _____ - ____________

  Date _____ / _____ / _______
 
Name _______________________________    Badge Name _____________________


Address _________________________________________________________________


City ____________________________

  
State ______		  
Zip ____________


E-Mail Address  _________________________________________________________

Volunteer Area _________________________________________________________

Special Requests _______________________________________________________


Cost: Three Day Group Registration      $10 each thru Jan 1, 2001)
         (a Group is 9 or more people)       $20 each (thru April 30, 2001)
                                                              $25 each thereafter and at the door

Number of Registrations  _______    Amount Enclosed   $ _____________
Names of Additional Registrants 

Name _____________________________    Name _____________________________  

Name _____________________________    Name _____________________________  

Name _____________________________    Name _____________________________  

Name _____________________________    Name _____________________________  

Name _____________________________    Name _____________________________  
Submit Registrations to:
Conjuration
P.O. Box 874
Columbia, MO 65205-0874
Phone (573) 874-0801		 Hotel Reservations:
Columbia Best Western
3100 I-70 SE (I-70 and US63)
Columbia, MO 65203
(573) 474-6161