Zenkaikon 2012 Registration Form

Instructions: Complete the form below to pre-register for Zenkaikon 2012. Pre-registration payments are handled through Paypal, a secure credit-card processing website. If you have a Paypal account, you will be prompted to log in when you are ready to pay. If you don't want to register for Paypal, you can click the "continue" link under "Don't have a Paypal account" to pay with a credit card.

* Required Field

Primary Registrant

Last Name *

First Name *

Address Same as Primary

Street Address (Line 1) *

Street Address (Line 2)

City *

State *

Zip Code *

Phone Number

Registration Type *

E-mail Address *

Will be under 18 on May 11, 2012

Additional Information

How did you hear about Zenkaikon?

Comments

I have read and agree to the Zenkaikon Convention Policies and Registration Policies *

Sign me up for the Zenkaikon Announcements e-mail list! (We promise we'll never share your e-mail address with any third party.)

Zenkaikon, Greater Philadelphia's Anime Convention. March 18-20, 2011. King of Prussia, PA.

Zenkaikon 2012 Registration Form