Sheraton Denver Tech Center Hotel October 21- 24, 2004

Warpstock 2004 Registration Form

NAME / COMPANY: ___________________________________ E-MAIL: _____________________
STREET ADDRESS: _______________________________________________________________
CITY: __________________________________________  STATE/PROVINCE: _______________
 POSTAL CODE: ___________________  COUNTRY : ___________________________________
Conference and Social Registration
Description Before
Aug 15
After
Aug 15
Qty
---Package Registration ---
4 day conference pass, Friday & Saturday Social (1) $195 $229 ____
4 day conference pass $145 $175 ____
--- Individual Days and Social Events Registrations ---
Conference pass - Thursday $60 $70 ____
Conference pass - Friday $60 $70 ____
Conference pass - Saturday $60 $70 ____
Conference pass - Sunday $60 $70 ____
Friday social (transportation only) $10 $10 ____
Saturday social (1) $60 $70 ____
Sat. social, spouse/child 13+ (1) $30 $30 ____
Saturday social, kids < 13 (1) $1 $1 ____
Warpstock 2004 Shirts
$35
$35
____
 Select shirt size:
 [  ] Small  [  ] Med  [  ] Large  [  ] XL  [  ] XXL  [  ] XXXL
 Shipping (If not picked up at event)
$15
$15
____
Totals:
______
______

  Exhibit Space Rental
Description Price Qty
Full booth. Includes
 · 2 internet connections
 · 2 four day conference passes
$500 ____
Half booth. Includes
 · 1 internet connection
 · 1 four day conference pass
$285 ____
Half booth special $145 (4) (4)
Totals:
______

(1)  Not valid after September 30, 2004.

(2) Exhibit space is available for rental for the duration of the event.

(3) Exhibits can be setup starting at 8:30AM on Thursday Oct 21 and must be taken down by 4:30PM on Sunday Oct 24.

(4) requires software donation. Contact warpstock2004@covad.net for details

(5) Send completed form with a check or money order payable to  Warpstock, Inc to the following address:
  Warpstock 2004 - C/O Stan Sidlov
  187 Hilltop Court
  Pompton Lakes, New Jersey 07442, USA

Badge Information  What would you like to have printed on your Warpstock badge?
Badge 1
NAME : ___________________________________
CITY : ___________________________________
STATE: ___________________________________
INFO : ___________________________________
Badge 2
NAME : ___________________________________
CITY : ___________________________________
STATE: ___________________________________
INFO : ___________________________________