GenghisCon 2018 registration
Event Dates: January 19-21 2018
Event Address: Trinity Residential College, UWA: 230 Hampden Road, Crawley
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Email address *
Surname (or your mononym if you only have the one name) *
Your answer
First name
Your answer
Preferred name
Your answer
Contact phone number *
Your answer
Street address *
Your answer
Suburb *
Your answer
Postcode *
Your answer
Date of birth *
What days would you like to attend? Full membership is $25 *
Would you like a deluxe membership? It includes full membership, Friday pizza, a t-shirt and more! Deluxe membership is only $50 *
Would you like to prepay for Friday pizza ($5)? *
Would you like to order a t-shirt? *
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