DefKON 1 Pre-Registration Form

For Hotel Reservation Info Contact Mike Watkins (218)233-4046 (1pm-9pmCST)
For Information on Hosting a Panel Contact Doug Corbett at: kb0nvq@earthlink.net
For Gaming Info Contact DefKON at: DefKON_Com@yahoo.com
DefKON Contest Registration
(Check appropriate Box if you wish to enter)
[ ] Costume Contest
[ ] Road Warriors [ ] Battle Of The Barbarella's
(For Contest Rules and Information See our website)

DefKON 1
Underground Revolution - "Viva La Resistance"
Pre-Registration Form
Name_________________________________________________

Badge Name____________________________________________

Address________________________________________________

City_______________________State/Province_________________

Zip/Postal code________________ Telephone_________________

E-mail_________________________________________________

_______@ $ 15 (US Funds) Convention Fee*
_______@ $ 8 Banquet (YES, EIGHT DOLLARS)
_______@ $ 15 T-Shirt* ( L XL other____)

_______ Total

Pre-Reg Ends October 9th 2002
(Door Prices: Con: $25.00, T-shirt: $20.00)

Make Checks or Money Orders Payable To:DefKON
C/O Mike Watikins
324 10th St. N
Moorhead, MN 56560

E-MAIL: DefKON_Com@yahoo.com .......... Website: http://defkon1.tripod.com