DIXIECON

You can register for Dixiecon by printing this form and sending it to David Hood, 1969 12th St PL NE, Hickory NC 28601 with payment, or by using Paypal and submitting this form electronically. If using Paypal, send the money to gamerhood@charter.net The fields marked with (*) are required fields. * First Name  * required * Last Name  * required   Address Line 1   Address Line 2   City   State   Zip Postal Code   Telephone Number * Email Address  * required * Indicate how many nights at $30 per night to share, or $60 per night by yourself, and then add to that figure your $30 registration fee.