N.B. One form must be filled in by each person attending, as we need a signed age statement, plus contact information for each person. Thank you. 

Name (real name please!)  
Badge name (if different)  
postal address





 
Telephone number  
email address  
If you have any suggestions for panels, we would be delighted to have them!






 
Please indicate if you would be willing to help out as a facilitator, panellist or steward 

I am over eighteen (18) years old, and I understand that Connotations is a slash convention, intended only for adults who understand and accept that slash is likely to include erotica and nudity.

I enclose a cheque made payble to Connotations for £25 in consideration of one ticket for Connotations. I understand that Connotations will make a provisional booking in my name at the Park Hotel for the period indicated above, but that I am solely and fully responsible for the cost of that hotel room, and for advising them of any special requirements I may have, and that I must contact the Park Hotel direct to make my booking for a hotel room.




Signed: ___________________________________________ Date:____________________

Connotations
PO Box 795
Enfield
EN1 9SZ