Title
Given Name
Surname
Address
Suburb
State
ZIP/Postcode

Country

   
Preferred name to appear on badge - optional
Email address *
* Must be current as all correspondance will be email based
Contact phone number (include area code)
   

Check this box if you do NOT want your name shown on any public lists

- optional

How did you hear about Con 9 From Outer Space?

- optional
   
   
Convention Membership Options
Full Two Day Membership - $50
or...  

One day membership (Saturday) - $30

One day membership (Sunday) - $30

   

Yes I would like to order an official Con 9 From Outer Space convention T-Shirt at a cost of AU $22 (each) to include with my membership registration

Quantity

Size/s (S, M, L, XL, XXL, XXXL)

(shirts will be supplied to you as part of your convention membership pack)

   
   

SUMMARY REVIEW

Please calculate your Total -

AU
   
 
 

Please ensure all details are correct before submitting form

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PAYMENT OPTION #1
Direct Bank Deposit (funds transfer)

- Bank: ANZ

- Account name: Con 9 From Outer Space
- BSB: 013-402
- Account no: 183556836

IMPORTANT: Please send an email to Con 9 From Outer Space to confirm that payment has been made

 
PAYMENT OPTION #2
Cheque/Money Order
Please make all Cheques/Money Orders out to: Con 9 From Outer Space
Post to: Con 9 From Outer Space, PO BOX 2045, Rowville, Victoria, AUSTRALIA 3178
 
 
PAYMENT OPTION #3
Paypal
Paypal is available upon request. For more information please contact Clare our Membership Manager
con9memberships@gmail.com
 

Note: Con 9 From Outer Space does not accept Credit Card payments

 
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Once you have submitted your application form and payment has been received, an email receipt will be sent to you confirming your registration number (this may take 5 days to process)

And thanks for joining us, it's going to be a blast!

Back to Con 9 From Outer Space web page