- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Tropicon XX - November 9-11, 2001 - Tropicon Registration Form Mail to: Tropicon XX c/o SFSFS PO Box 70143 Fort Lauderdale, FL 33307-0143 Name:__________________________________________________________________ Address:_______________________________________________________________ City:__________________________________ State:_____ Zip:_______________ Country (if not USA):__________________________________________________ Phone:_________________________________________________________________ E-Mail address:________________________________________________________ Names of Aditional Members:____________________________________________ ______________________________________________________________________ ______________________________________________________________________ Enclosed is $__________ for: {if Date_code > 1978 then Skip()} ________ 3 Day Membership(s) $23.00 until June 1, 2001 $35.00 until June 1, 2001 (Includes 1 year SFSFS membership) $25.00 until October 31, 2001 $28.00 after October 31, 2001 {else} ________ 3 Day Membership(s) $25.00 until October 31, 2001 $28.00 after October 31, 2001 {end} ________ Children's Membership(s) $10.00 (ages 5-11) ________ Banquet Reservation(s) $35.00 per person, service charge and tax inclusive ________ Dealer's Table § $45.00 (includes 1 membership) ________ Dealer's Assistant Membership § $15.00 ________ Art Show Panels/Tables (full $25.00, half $15.00) ________ SFSFS Membership(s) § $15.00 ________ Contribution to SFSFS Make Checks Payable to SFSFS Please send information on: ______ Dealer's Table ______ Art Show ______ SFSFS ______ Gaming ______ Advertising in the Program Book ______ YES! I'd like to help at Tropicon. Area(s) I'm interested in: _______________________________________________________________ Tropicon is sponsored by the South Florida Science Fiction Society, a 501(c)(3) Non-Profit Organization