Anime North 2010 Pre-Registration

Anime North accepts payment by Cheque or Money Order, made payable to

"Anime North". GST and PST is included in all amounts. No post-dated

cheques are accepted.

Registrations may be mailed to: Deadline for pre-registration

Anime North is April 16, 2010

P.O. Box 11, Stn P

Toronto, ON Registrations should be

M5S 2S6 postmarked by this date

Children between 6-13 and under admitted for half-price.
 Quantity
 ______ Adult Memberships @ $45 CDN / USD to March 12 $_________
 ______ Adult Memberships @ $55 CDN / USD from March 13-April 16 $_________
 ______ Half Price Memberships for Children 13 and under $_________
 ______ Saturday Brunch Tickets @ $25 CDN/ USD  $_________
 ______ Anime North 2010 T-Shirts @ $20 CDN / USD ($22.50 for XXL) $_________
  Please specify size(s) - Sm, Med, Large, XL, XXL
  Total $_________
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 Name(s) ___________________________________________________________________
 Address ___________________________________________________________________
 ___________________________________________________________________________
 Postal/ZIP Code _____________________ E-Mail _____________________________
I want to volunteer at the convention: Yes / No
I wish for information on Special Needs Services for the Disabled: Yes / No

I require an attendant to accompany me while at the convention: Yes / No

(note: Anime North does not provide attendant services)

Please include the names of all people that memberships are being purchased

for. Use the back of the sheet if necessary. Indicate names of Children with a C.

E-mail registration@animenorth.com or check the webpage at www.animenorth.com

for further information.

 GST #: 86856 3933 RT 001