Bastard Nation Conference Registration Form

Name_____________________________________ Email Address_____________

Address_________________________________________ Apartment #____

City_______________________________ State______

Zip Code_______________

Province_______________ Country________

Phone number: ( ) _________________________________

Are you a BN member? Yes_____ No _____ If so, what category? _________________

Conference Registration fee:
     Registrations postmarked by July 1, 1997:
     $60 for BN members , $95 for non-members
     Registrations postmarked after July 1, 1997 (and at the door:
     $85 for BN members, $115 for non-members
     Payable by check to Bastard Nation.
     Send your payment and registration form to:

     Bastard Nation

     P.O. Box 1469
     Edmond, OK 73083-1469

     Hotel reservations:
     Room rate is $79 a night.
     To make reservations, call: 847-671-6000 if you are in the Chicago area,
     outside the Chicago area, call 1-800-323-1239.
     Tell them you are reserving a room for the Bastard Nation conference.
     Five people can stay in a room, max.

Lower your hotel rate with the Bastard Buddy Program

Win a free trip to the conference, free registration or free rooming: Bring in the Bastards!

Back to Birth of a Bastard Nation Conference Homepage
Back to Bastard Nation.