Membership Options for Westercon 70
This form allows registered members of Westercon 70 • ConAlope • LepreCon to choose membership options, considerations of hospitality, and information points that benefit our attendees. Thank you for taking a moment to tell us how to tailor your membership to meet your needs. (Westercon Staff)
Membership Level
Which Member Are You? (Registered Name)
Your answer
(Badge Name)
Your answer
(Email on Membership)
Your answer
(Address and/or Phone Number on Membership)
Your answer
I wish to _____________ my name published online as a supporting or attending member
Please change my published online name to show as follows:
Your answer
Please send progress reports to me by:
We would like a progress report:
Have you reserved a room at the Tempe Mission Palms for the event? This helps us make sure our guests are in the Westercon section of the hotel rooms and you get the group rate. If so, what name is it listed under?
Your answer
Your membership in Westercon 70 also qualifies you to become a voting member of Leprecon, Inc., for August 2017-July 2018. If you would like to be a voting member of Leprecon, Inc., and be notified about the quarterly business meetings, please tell us:
Do you need any special considerations or disability information about Westercon 70? (For example: Wheelchair Rentals, TTY Services, Areas of Support, Diet Restrictions, Diet Options, Previous History of Heatstroke, or Food Allergies we should be aware of.)
Your answer
Are there any areas of interest, or questions we can answer that is not found on our website?
Your answer
Do you have any emergency contact information you wish for our registration department to have handy?
Your answer
Please feel free to comment further:
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