If you plan to attend any of the HomiCon 2001 events, please print this form and fill it out, then
mail it, with a cheque or money order for the correct amount to:
Katherine Wilhelm
122 W. Cloverdale Avenue
Shrewsbury, PA 17361
Katherine Wilhelm
122 W. Cloverdale Avenue
Shrewsbury, PA 17361
If you don't have a printer, you can send a hand-drawn facsimile. For details on
these activities, please see the itinerary. All
prices are in US funds.
Full Name:_____________________________________
Email Address:_________________________
Phone Number: (day)_________________(evening) _________________
Please check the activities you plan to attend:
Redball Cocktail Party ____ $30
Zippy's Walking Tour ____ $15
Seminar/Panel Discussion ____ $10
I have enclosed a cheque/money order in the amount of $________.
I will pay at the door ____
Your payment in full must be received no later than Thursday October 18, 2000.
Full Name:_____________________________________
Email Address:_________________________
Phone Number: (day)_________________(evening) _________________
Please check the activities you plan to attend:
Redball Cocktail Party ____ $30
Zippy's Walking Tour ____ $15
Seminar/Panel Discussion ____ $10
I have enclosed a cheque/money order in the amount of $________.
I will pay at the door ____
Your payment in full must be received no later than Thursday October 18, 2000.