ConClave 34 Registration Form

Please fill out this form, then print it.

Mail this form with your check or money order (U.S. funds only) payable to ConClave, Incorporated, to:

ConClave, Inc.
P.O. Box 2915
Ann Arbor, MI 48106

Your Name and Address:

Name (First/Last)

Email Address
Street Address
City
State/Provence ZIP/Postal
Country
Phone Number

Names for Each Additional Membership:

First Name Last Name
1
2
3
4
5

Yes! Please register us for:

Membership(s) at  { $40 USD (Until September 15, 2009)
 }  Total $

Remember! Print this form, then send it through regular mail with your registration fee!
Any questions should be sent to  

Thank you for registering! We'll see you at the Con!

Return to Registration Page

Copyright © 2007-2009 ConClave, Incorporated. All rights reserved.
ConClave is a literary not-for-profit organization dedicated to the advancement of Science Fiction and SF literature.  
Last Modified: August 23, 2009