OryCon 30 Membership Form

• Adult memberships for OryCon 30 are now $40 until July 31st, 2008. Price will increase after that date.
• Child memberships: Children who will be 6-12 at the time of the convention are $20.
  Children 5 years and under at the time of the convention are free.
  Children must be accompanied by an adult with a membership.
• Make checks payable to "OryCon 30".

Please print out this form, fill it out, and mail it with your payment
to:

        OryCon 30
        PO Box 5464
        Portland, Oregon 97228-5464

List any additional names and addresses on the back or on a separate
sheet.

Name _____________________________________________________________

Address __________________________________________________________

City/State _______________________________________________________

ZIP/Postal Code __________________  Phone ________________________

Alternate Badge Name _____________________________________________

E-Mail Address ___________________________________________________

Please tell us where you found out about this Web page:

__________________________________________________________________


Would you like to work on OryCon 30?
        [] At the Convention   and/or [] On the Planning Committee

[] Do not print/publish my name

[] Just email my progress reports.

Other information requested/comments:

__________________________________________________________________