Anime North 2011 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. If submitting a money order, Anime North recommends using

registered mail; we are not responsible for payments lost in the mail.


Registrations may be mailed to: Deadline for pre-registration by

Anime North mail is April 22, 2011

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 Weekend Admissions @ $55 CDN/USD $_________

______ Child Weekend Admission for Children 6-13 @ $27.50 $_________

______ Adult Saturday Only Admissions $40 CDN/USD $_________

______ Child Saturday Only Admission for Children 6-13 $20 CDN/USD $_________

______ Anime North 2011 T-Shirts @ $20 CDN/USD ($22.50 for XXL) $_________

Please specify size(s) - Sm, Med, Large, XL, XXL

Total $_________

Note: Brunch Tickets are Sold Out

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Name(s) _______________________________________________________________________

Address _______________________________________________________________________

__________________________________________ Postal/ZIP Code ____________________

Email (Please print clearly)___________________________________________________

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