First Name (required)

Last Name (required)

Address (required)

City (required)

State
---ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWAWVWIWY
Zip Code

Phone (required)

E-Mail (required)

Personal Web Site

Since there are a finite number of rooms available, please expect to be paired with another Camper. If you don’t have someone in particular with whom you’d like to share a room, we’ll gladly pair you up with someone. Single rooms MAY be made available after July 1, 2022 for an additional charge IF space allows.
I would like to room with:
I prefer to room with a: MaleFemale
In a: Quiet RoomParty Room

Our new venue of Umass-Lowell will be housing us in on-campus suites. That means most Campers will be staying in four-person, two-double-bedroom suites. As always, we will do our best to honor room mate requests and will be following up at a later date regarding suite mate requests.

Due to health issues I need to be near the elevator
*** (NOTE: Umass-Lowell has elevators in the dorm in which we'll be staying. We will accommodate all previous "First Floor" requests with suites closest to the elevators.) ***

Please also note — More information on UMass-Lowell policies, including those specific to staying overnight on their campus, will be sent at a later date.

PLEASE SELECT A PAYMENT OPTION (required)
• FULL REGISTRATION — Complete Membership, including Room & Board (3 Nights) and Full Access to all Necon 40 Programming and Events — $475.00
• WALK-IN REGISTRATION — 4 Days, Full Access to all Necon 40 Programming and Events, No Room & Board — $125.00
• MEMBERSHIP DEPOSIT — A downpayment towards Full Registration. PLEASE NOTE — this deposit is NON-REFUNDABLE, but may be rolled towards a future Necon registration, forwarded to another Camper, or put towards a Walk-In Registration — $100
• REMAINING BALANCE — Chose this option if you have already purchased your MEMBERSHIP DEPOSIT and want to pay the remainder of your FULL REGISTRATION (due by 7/1/22) — $375.00
• PRE-PAID AT NECON 39 — Please select this option if you already paid your balance for Necon 40 in full at Necon 39, but would like to send us additional information such as a roommate request or programming suggestions (and then ignore the "Process Payment page where you'll be directed after sending us your registration form).
FULL ($475.00)WALK-IN ($125.00)DEPOSIT ($100.00)BALANCE ($375.00)PRE-PAID ($0.00)

ABOUT ME
Please complete this questionnaire if you’re interested in being used on Official Necon 40 Programming (i.e. Panels or Kaffeklatches)!
(In order to be used on Official Programming, you MUST be registered by July 1, 2022!)

Estimated Arrival (Date & Time):

Estimated Departure (Date & Time):

I am a (please check all that apply):
WriterArtistEditorAgentPublisherFilmmaker
Other:

I have written / worked on (please check all that apply):
NovelsShort Fiction / NovellasComic Books / Graphic NovelsScreenplays / StageplaysPoetryE-BooksAudiobooksLiterary Criticism / ReviewsNon-Fiction
Other:

My genres of choice are (please check all that apply):
HorrorFantasyCrimeSupernaturalScience FictionParanormal / Urban FantasyHumor
Other:

I have personal / professional experience in the following fields that may be of interest and useful during programming (ex: legal expertise, medical expertise, martial arts expertise, experience working with cadavers, specific fields of academic / literary study, etc.):

Any other notes you’d like to share or programming you’d like to suggest for Necon 40: