Registration for Conference in the Cornfield 7

Step into Heaven at CornCon7!
Hurry! Registration Ends June 5th at Midnight (CDT)

Saturday, June 9, 2012
in the Bloomington-Normal area (Illinois)

Send us your registration information.
We will email you a link for payment via PayPal.
Event registration is $40 plus the costs of any t-shirts ordered.

Scene Name (exactly as you want it on the tag):

First (legal) Name:

Last (legal) Name:

Street Address:

City:

State:

Zip Code:

Phone Number:

E-mail address:

Commemorate your attendance with a collectable CornCon6 t-shirt
(additional charge):
T-Shirt:

Special Needs:
Enter your special needs request here