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Swancon 2004 Memberships

Memberships are now only available for purchase at the door. Members may pre-register their attendance below.

Memberships are non-refundable, but are transferable.

If you wish to pre-register to have your badge printed in advance, choose "Pre-register" as your membership type. You will still have to pay the at-door membership rate.

If you wish to pre-register multiple memberships, please fill in the form once for each member.

Membership type
Given Names:
Surname:
Date of Birth: Day: Month: Year:
Email Address:
Address:
Suburb:
State:
Country (if not Australia):
Postcode:
First timer's 'sponsor':
Receive PR's Online
Postal
Both
Comments:

All information submitted will be subject to our privacy policy.

 

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This web page last updated on Tue, 23 Sep 2003 by Shay Telfer <shay@cygnus.uwa.edu.au>