rollover 2021 to 2022

Membership rollover form 2021 to 2022

If you need to roll your membership to FantaSci from 2021 to 2022, please fill out this form.

Be sure and include the name of each person you purchased a membership for.

May 15th is the last day to roll a membership to 2022.

There will be no refunds.

Name of person who purchased the tickets *

First

Last

Email of person who purchased the tickets *

Phone of person who purchased the tickets *

Number of 3-Day Passes Purchased

Number of MHI Passes

Number of 4HU Passes

Number of MHI Addon Passes

Name of attendee one *

First

Last

Name of attendee two

First

Last

Name of attendee three

First

Last

Name of attendee four

First

Last

Name of attendee five

First

Last

Name of attendee one six

First

Last

Name of attendee seven

First

Last

Name of attendee eight

First

Last

Name of attendee nine

First

Last

Name of attendee ten

First

Last

Any additional information registration needs to know

Affirmation of change in membership *

I understand by submitting this form that I am unable to attend the 2021 convention and that my membership will roll over to 2022. At this time, I acknowledge that I will no longer have a membership for FantaSci 2021' or some form thereof of acknowledgement.

Signature *