WFC 2011 ::: Registration

WFC 2011 Online Membership Form

Rates Valid until 10/31/2010 - Join now!

To pay by charge card complete this form & submit. | Pay by check HERE »
(If the info for Members 2 & 3 is different, please submit applications separately. Thanks!)

Required Fields*

	First*	Middle Init. (optional:)	Last Name*
Member #1 Name
What best applies to you?*	Author Editor Publisher Agent Bookseller Collector Other

Member #2 (optional)
What best applies to you?	Author Editor Publisher Agent Bookseller Collector Other

Member #3 (optional)
What best applies to you?	Author Editor Publisher Agent Bookseller Collector Other

Please choose membership type:
Member #1 Address:
Address (continued:)
City:
State/Province:
Zip/Postal Code:
Country:
Contact E-mail*:
Contact Phone:
How did you hear about WFC 2011?

Would you prefer to receive your progress reports via email only?	Yes, email only No, send also by U.S. Mail
I'd like to do a reading	Yes, I'd like to do a reading No, thank you
I'd like to be on a panel	Yes, I'd like to be on a panel No, thank you

I'm interested in outside (non-convention) touring of San Diego (this is not a commitment)	Yes, I'm interested in touring No, thank you

I'm interested in attending the banquet if the cost is acceptable (this is not a commitment)	Yes, I plan to attend the banquet No, I don't plan to attend the banquet I don't know yet

Last updated: 7/12/10
Use of this site indicates your agreement to our terms and conditions of use.
Copyright The World Fantasy Convention 2011 All rights reserved. Site Design by Todaro Communications, Inc.