SPECIAL GUEST & INFLUENCER REGISTRATION
Completing and submitting this application is not a guarantee of event pass. ANIME IMPULSE staff will review and determine your eligibility. If approved, a staff member will send you a confirmation email with convention pass.
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First Name *
Last Name *
Address *
City *
State *
Zip Code *
Phone *
E-Mail Address *
Website
Instagram
Facebook
Youtube
Twitter
Twitch
Acknowledgement: I understand the general terms and conditions and understand that filling out this application is not a guarantee of convention pass. *
Free convention pass is at ANIME IMPULSE's sole and absolute discretion.
Required
Authorized Submission: By printing your name and submitting this form, I hereby acknowledge that I understand and agree to be bound by both the General Terms and Conditions for ANIME IMPULSE Rules. I further acknowledge that failure to abide by the ANIME IMPULSE Rules may result in the loss of my Guest Pass Privileges without recourse. *
By printing your name below you agree to allow ANIME IMPULSE or its agents and representatives to contact you by phone and/or email to verify information and send special offers regarding ANIME IMPULSE and its shows, services and products.
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