Register

Contact Information:

Kathleener@aol.com

KiScon

PO Box 1766

Temple City, CA 91780

Membership Information

KiScon is an event for adults over the age of 18.

REGISTRATION FORM

Please include the following information with your registration payment. If you're paying via PayPal, please include this information in a separate email to me at Kathleener@aol.com

Name: __________________________________________________

Name on your badge: ________________________________________

Address: _________________________________________________

City: _____________________ State: __________ Zip Code: _______

Country: _______________________

Email Address: __________________________ (for con updates and progress reports)

Phone Number: __________________________

Choice of Saturday Night dinner entree: Chicken, Salmon, or Vegetarian Pasta.

Special Requests for panel topics, vids (music and other) on the schedule, etc: _______________________________________________________________

______________________________________________________________________

PayPal payments - Kathleener@aol.com

Checks/Money Orders to:

Kathleen Resch, P.O. Box 1766, Temple City, CA 91780-7766

For further information:

Email: Kathleener@aol.com

KiScon is an event for adults over the age of 18.

This site was last updated 12/29/07