Badge Name (if different): ____________________________________
(Please attach additional membership names and addresses on separate sheets. Thank you!)
City: ____________________ State: _____ Zip/Postal Code: _________ Country: _________________________
Phone: ___________________ Email Address: _____________________
School or College (if student): __________________________________
Please send me information about:
__ Joining NESFA __ Volunteering to help
Please make out check or money order (do not send cash thru the mail!) to Boskone. We also accept VISA, MasterCard, Discover, Amercian Express and PayPal (send to firstname.lastname@example.org).
I am paying $______ by: __ check/money order __ credit card __ PayPal
Credit Card # ___________________________ Exp. Date: __________ CVV code: ________
Name on card: ________________________________________________________________
Mail to: Boskone 53; PO Box 809; Framingham, MA 01701; U.S.A.
Fax to: 617-776-3243 (only credit cards on Fax orders)
Boskone is a registered service mark of the New England Science Fiction Association, Inc. This page is maintained by email@example.com