Rustycon XXI January 17-19 2014, Seatac Marriott Hotel
Home
Register Online
Programming
Hotel
Special Events
Art Show
The Marketplace
Gaming
Volunteers
Advertise with us
Photo Gallery
Links
Meetings
Past Rustycons
Given Name:
Middle Name/Initial:
*Surame:
Badge Name:
(Leave blank if you want the legal name to be the badge name.)
*Street Address:
*City:
*State/Province:
*Zip/Postal Code:
*Country:
Home Phone:
E-mail Address:
(If this membership is for a child under 13 years, please enter in a guardian's e-mail address instead).
Would you like to be added to the Rustycon Members e-mailing list?
(No spam, we promise - just Rustycon Announcements and such)
Is the attending member 18 or older?
Would you be willing to volunteer to help us at Rustycon?
If so in what areas would you like to assist:
Membership type:
Discount Code:
Guardian Name:
The guardian whose name is listed here will be REQUIRED to sign a release form when the child/teen picks up their badge. Signing this form also indicates that the person responsible has read and agrees to Rustycon's policies on minors attending the convention. This registration form must be signed or the child/teen's registration WILL NOT be processed.

 
 

Would rather pay with a check? Click here, download and fill out a membership form and mail it in with your check before April 30th to

RustyCon
P.O. Box 69387
Seattle, Wa 98188

Site Design by Sarmonster.net