2017 Anime Blues Con Panel Application
Please fill out this form by May 1, 2017 to be considered for Anime Blues 2017's program schedule. Submission of this form does not guarantee acceptance. Acceptance notifications will begin going out May 2. Please note that all emails from our staff regarding your panel or acceptance must be responded to in a timely manner.
Legal Name (no nicknames)
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Email
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Phone Number
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Street Address
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Address Line 2
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City, State
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Zipcode
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Date of Birth (must be at least 16)
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