=== REGISTRATION FORM ===

Please cut and paste this section into your favorite word processor and fill out 
& return to Gallifrey One!  (Note: use a FIXED WIDTH font such as Courier New to 
make it print properly!)  You can also print it directly from Internet Explorer,
Firefox, Mozilla, Netscape, Opera or any other browser!

Note: Registration via PAY-PAL is now available!  Check the main page of the 
Gallifrey 2009 web space for details!


...... cut here ......

GALLIFREY ONE: 20 TO LIFE  (GALLIFREY 2009)

QUICK REGISTRATION FORM
Please fill out and return with a check or money order to:
Gallifrey Conventions, P.O. Box 8022, Van Nuys, CA 91406.

Make check payable to GALLIFREY ONE.
US FUNDS ONLY please!

You will receive a confirmation POSTCARD with your membership number on it.  You 
will also receive copies of our Progress Reports as they are printed.


Name(s): _______________________________________________________________

Badge Name(s): _________________________________________________________
(this is if you want a name other than your real one on badge!)

Address: _______________________________________________________________

City: _____________________________________________    State: __________

Zip: _____________ Phone: ______________________________________________

Email: _________________________________________________________________

Item                           Price          Number  Amount Enclosed 

Membership-full (to May 15/08) $40.00         ______  __________
Membership-full (to Jul 31/08) $45.00         ______  __________
Membership-full (to Sep 15/08) $50.00         ______  __________
Membership-full (to Nov 30/08) $55.00         ______  __________
Membership-full (to Dec 31/08) $60.00         ______  __________
Membership-full (to Jan 31/09) $65.00         ______  __________
Membership-full (Feb 1-door)   $70.00     (don't mail... buy on site)


Guest Banquet           	 		SOLD OUT!
Dealers Tables				 	Inquire via email
Art Show	 				Inquire via email

TOTAL ENCLOSED: _____________________________



The following two sections (volunteers & fan panels) can either be submitted on this 
registration form -OR- cut and paste into email.  In order to contact us VIA EMAIL, 
please browse to the following location and use our handy web form (we do not accept 
email directly in order to prevent spam); you may cut and paste this entire form 
into your mail on the email form page:

  >> http://www.gallifreyone.com/mail.php


___ Yes, I wish to volunteer!  Please volunteer me in the following departments 
    (and yes, I will check in at Volunteers when I get there!)
 
___ Setup (starts Friday 8:00am in main lobby)
___ Teardown (Sunday evening in Concorde Ballroom)
___ Con Suite (shifts available Friday 8:00am through Sunday afternoon)
___ Con Suite teardown (Sunday evening in Con Suite)
___ Security / Con Ops
___ Art Show
___ Masquerade (Friday evening)
___ Tech Support (please let us know your tech experience)
___ Other: _____________________



......cut here......