LOADING...
Please wait.
2019 Purchase Form
Personal Information
First and Last Name:*
Full Address:*
Phone:*
E-Mail:
Registration/Purchase Type:*
Registration or Purchase
Participant
Referee
Vendor
Just Buying a Tshirt / Challenge Coin
Do you plan on buying a convention shirt at the con?
(Shirts can also be purchased below)
*
Yes or No
Yes, reserve my shirt in the following size...
No, thank you :)
Size (only chose if you want your shirt reserved):
'25' '99'
Choose a Size
NO SHIRT RESERVATION PLEASE
Small
Medium
Large
1X Large
2X Large
3X Large
4X Large
5X Large
6X Large
Registration Info
Referee / Participant Registration:
Please fill out the registration info below.
Vendor FULL WEEKEND Registration (09/28 - 10/01/2017):
(Please disregard ``qty`` drop-down)
Company Name:
Company Address:
Company Telephone:
Company website:
Please send us a jpg/gif/bmp image of your company`s logo to include in the convention book and on the Travellercon/USA website (email: registration@travellercon-usa.com). Please try make sure the image is at least 350w x 175w pixels. Larger images will work with no problems. Smaller images may need retouching to preserve the original image`s graphic.
DISCLAIMER: By registering as a vendor for Travellercon/USA, you agree to allow your company to be included in any promotional materials (flyers, bookmarks, website, convention book, etc) printed for the convention. Because of the size of the convention, it is highly likely your table will appear in photographs displayed on the website. This also falls under promotional materials. We will include a direct link in our promotional materials to your website, or email address, to allow customers to make contact with you/your company.
Referee Registration:
How many games will you run?
Choose a qty
1
2
3
4
Game Information
Game Title:
Game Rule Set:
Game Type:
Choose a Game Type
RolePlay
Miniatures
Board Game
Other
Game Time:
Select
Game Time:
Friday, October 05 - 1pm - 5pm
Friday, October 05 - 7pm - 11pm
Saturday, October 06 - 8am - 12pm
Saturday, October 06 - 1pm - 5pm
Saturday, October 06 - 7pm - 11pm
Sunday, October 07 - 8:30am - 12:30pm
Game Description:
Game Max Number of Players:
Select
Max Number of Player
1
2
3
4
5
6
7
8
9
10
11
12
Game #2 Information
Game #2 Title:
Game #2 Rule Set:
Game #2 Type:
Choose a Game #2 Type
RolePlay
Miniatures
Board Game
Other
Game #2 Time:
Select
Game Time:
Friday, October 05 - 1pm - 5pm
Friday, October 05 - 7pm - 11pm
Saturday, October 06 - 8am - 12pm
Saturday, October 06 - 1pm - 5pm
Saturday, October 06 - 7pm - 11pm
Sunday, October 07 - 8:30am - 12:30pm
Game #2 Description:
Game #2 Max Number of Players:
Select
Max Number of Player
1
2
3
4
5
6
7
8
9
10
11
12
Game #3 Information
Game #3 Title:
Game #3 Rule Set:
Game #3 Type:
Choose a Game #2 Type
RolePlay
Miniatures
Board Game
Other
Game #3 Time:
Select
Game Time:
Friday, October 05 - 1pm - 5pm
Friday, October 05 - 7pm - 11pm
Saturday, October 06 - 8am - 12pm
Saturday, October 06 - 1pm - 5pm
Saturday, October 06 - 7pm - 11pm
Sunday, October 07 - 8:30am - 12:30pm
Game #3 Description:
Game #3 Max Number of Players:
Select
Max Number of Player
1
2
3
4
5
6
7
8
9
10
11
12
Game #4 Information
Game #4 Title:
Game #4 Rule Set:
Game #4 Type:
Choose a Game #2 Type
RolePlay
Miniatures
Board Game
Other
Game #4 Time:
Select
Game Time:
Friday, October 05 - 1pm - 5pm
Friday, October 05 - 7pm - 11pm
Saturday, October 06 - 8am - 12pm
Saturday, October 06 - 1pm - 5pm
Saturday, October 06 - 7pm - 11pm
Sunday, October 07 - 8:30am - 12:30pm
Game #4 Description:
Game #4 Max Number of Players:
Select
Max Number of Player
1
2
3
4
5
6
7
8
9
10
11
12
Purchase Information
Participants and Referees:
Weekend Registration (10/11 - 10/13/2019)
$35.00
Qty
2
3
>
Participants and Referees:
Saturday Registration (10/12/2019)
$30.00
Qty
2
3
>
Participants and Referees:
Friday/Sunday Registration (10/11 & 10/13/2018)
$25.00
Qty
2
3
>
If registering for more than yourself, please add additional names here:
Vendors:
Weekend Registration (10/11 - 10/13/2018) (1 table)
$35.00
Qty
2
3
>
Vendors:
Additional Vendor Tables (10/11 - 10/13/2018)
$20.00
Qty
2
3
>
Vendors:
Vendor Table Assistants - Non-gaming (10/11 - 10/13/2018)
$30.00
Qty
2
3
>
Vendor Assistant Name(s)
You can buy up to 3 shirt sizes here:
Convention Shirt:
Choose Convention Shirt
Small $25.00
Medium $25.00
Large $25.00
1X Large $25.00
2X Large $25.00
3X Large $30.00
4X Large $30.00
5X Large $30.00
Qty
2
3
4
5
6
7
8
9
10
>
You can buy up to 3 shirt sizes here: (chose shipping if you will not be picking up your shirt(s) at the convention)
Convention Shirt:
Choose Convention Shirt
Medium $25.00
Large $25.00
1X Large $25.00
2X Large $25.00
3X Large $27.00
4X Large $30.00
5X Large $30.00
6X Large $30.00
Qty
2
3
4
5
6
7
8
9
10
>
Convention Shirt:
Choose Convention Shirt
Medium $25.00
Large $25.00
1X Large $25.00
2X Large $25.00
3X Large $27.00
4X Large $30.00
5X Large $30.00
6X Large $30.00
Qty
2
3
4
5
6
7
8
9
10
>
Convention Shirt:
Choose Convention Shirt
Medium $25.00
Large $25.00
1X Large $25.00
2X Large $25.00
3X Large $27.00
4X Large $30.00
5X Large $30.00
6X Large $30.00
Qty
2
3
4
5
6
7
8
9
10
>
International Shipping
Please Chose - Email for more than 5 shirts
International Shipping (1 shirt) $15.00
International Shipping (2 shirts) $20.00
International Shipping (3 shirts) $22.00
International Shipping (4 shirts) $25.00
International Shipping (5 shirts) $30.00
Qty
>
Domestic Shipping
Please Chose - Email for more than 5 shirts
Domestic Shipping (1 shirt) $8.00
Domestic Shipping (2 shirts) $10.00
Domestic Shipping (3 shirts) $12.00
Domestic Shipping (4 shirts) $15.00
Domestic Shipping (5 shirts) $17.00
Qty
>
Grand Total:
Credit/Debit Card Information
NOTE:
This form will take you directly to Paypal to complete the transaction. Once you confirm the rest of your information is correct, and hit the pay button, it will take you directly to the Paypal site to complete the secure transaction.
Create Your Own Form
using this Template
Want the ability to collect
information with an online form
that looks like this one?
Powered by
Elbowspace.com