Come join the fun, education and empowerment at
Bastard Nation's Third Annual
Conference!
October 8 - 10, 1999
Holiday Inn
Boardwalk - Atlantic City,
New Jersey
|
ONE DAY
|
Booktables: $35 each, must be requested by October 1, 1999.
BN Membership: 1 year Individual $35, Group/Family/Organization &75, Sponsor $100+, Patron $250+, Benefactor 500+ Join here or email bnmember@bastards.org
Name_____________________________________
Email Address____________________
Address__________________________________
Apartment #____
City__________________________
State/Province _________
Zip Code_______________
Country________
Phone: ( ) ______________________
Fax: ( ) ______________________
Total amount: ( ) $ ______________________
Are you a BN member? Yes_____ No _____
If so, what category? _________________
Workshop session preferences: Mark first and second worksop preference numbers for each session.(see schedule for workshop numbers)
| Session 1: _____ | Session 2: _____ | Session 3:_____ |
| Session 4: _____ | Session 5: _____ |
Are you interested in the optional Friday Night Atlantic City Night Out? _______
Payable by check to Bastard Nation.
Credit Card: Bastard Nation accepts the following credit cards:
Visa _______ Master Card ______ American Express_____
Name as it appears on the credit card
_____________________________________________
Credit Card Number ______________________________Expiration date _________
Signature ___________________________________________
Bring your payment and registration form with you the the conference.