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.
First Name
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Last Name
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Address
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City
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State
Zip Code
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Phone
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E-Mail Address
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Website
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Instagram
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Facebook
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Youtube
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Twitter
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Twitch
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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.
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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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