* with adult membership
Pre-Reg by mail or you can pay for your LepreCon 30 Memberships via Paypal
Name:______________________________________
Badge Name:________________________________
Address:___________________________________
City:__________________________ State:______ Zip Code:____________
Phone:( )____________ Email:_____________________
Over 18?: ( )yes ( )no
I am interested in:___Displaying in Art Show __Participating in Masquerade
__Dealers Room __Running/Sponsoring a Game __Volunteering to help the convention
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