Registration

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, 2018 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

Due to health issues I need to be on the 1st floor
*** (NOTE: Please only check this if there is a health issue as there are a limited number of rooms on the first floor.) ***

PLEASE SELECT A PAYMENT OPTION (required)
• FULL REGISTRATION — Complete Membership, including Room & Board (3 Nights) and Full Access to all Necon 38 Programming and Events — $475.00
• WALK-IN REGISTRATION — 4 Days, Full Access to all Necon 38 Programming and Events, No Room & Board — $100.00
• 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 converted into 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 — $375.00
• PRE-PAID AT NECON 38 — Please select this option if you already paid your balance for Necon 38 in full at Necon 38 (and then ignore the "Process Payment page where you'll be directed after sending us your registration form).
FULL ($475.00)WALK-IN ($100.00)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 39 Programming (i.e. Panels or Kaffeklatches)!
(In order to be used on Official Programming, you MUST be registered by July 1, 2019!)

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 38: