Boskone 34 Order Form

MEMBERSHIPS:

$34 through 1/19/97. Make checks payable to Boskone 34. We also accept VISA and MasterCard. Please don't mail cash.

I am buying ______ memberships, total $_________.

I would like ______ banquet tickets at $25, banquet total $_______.

Books:

All books are for pickup at the convention

His Share of Glory: The Complete Short Science Fiction of C. M. Kornbluth, first clothbound edition

I would like ______ copies at $27, total $_______.

From the End of the Twentieth Century by John M. Ford

Trade Limited First Clothbound Edition
_____ copies at $13 (requested numbers __________) total $_______.
Boxed Limited Clothbound Edition
_____ copies at $20 (requested numbers __________) total $_______.

Total payments: $_______.

I am paying by: ____ check ____Visa ____MasterCard

Credit Card #___________________________________________ Expires: _____________________

Name on card: ______________________________________________________________________

Signature: _________________________________________________________________________

Name: ____________________________________________________________________________

Address: __________________________________________________________________________

_________________________________________________________________________________

City: _____________________________________ State: _________ Zip: ______________________

Country: ___________________________ Email Address: ___________________________________

Please attach any additional memberships and addresses. Thank you.

Please send me information about: ____Volunteering ____Joining NESFA

Entering the ____ Short Story Contest ____Filk Contest

Exhibiting in the ____Art Show ____Dealer's Room

(Please attach any additional memberships and addresses. Thank you!)

Mail to: Boskone 34, P.O. Box 809, Framingham, MA 01701-0203.

or fax (VISA/MC only): 617-776-3243


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