Join Octocon 2001

To join up print out this page and send it to the address below, with the appropriate fee. Please don't send cash in the post!

Octocon 12 Registration Form
Name:
Address:
Email:
Phone:
Name on Badge:
Date Joined:
Membership Type:	Attending Junior Supporting
Currency	IR£ UK£
Amount Paid:
I would be interested in helping with the organisation of Octocon.
Please make Irish cheques/postal orders payable to "Octocon". Please make Sterling cheques/postal orders payable to "Dave Lally #2 A/C".
Send to: Octocon 2001, c/o Yellow Brick Road, 8 Bachelors Walk, Dublin 1. Send to: Dave Lally, 64 Richborne Terrace, London SW8 1AX, England.
Please use your browser's "Print" command to print this page, and post it to the address below.