GenghisCon 2018 registration
Event Dates: January 19-21 2018
Event Address: Trinity Residential College, UWA: 230 Hampden Road, Crawley
Find us at genghiscon.org or booking@2018.genghiscon.org
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
MM
/
DD
/
YYYY
What days would you like to attend? Full membership is $25
Required
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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