ONLINE REGISTRATION

You may register online for Southern Exposure until Monday, September 27, 2004 (at midnight). Please use the following form to register. You will be sent a confirmation eMail of your payment.

The Complete Master Schedule is NOW POSTED!


If you are using a credit card, you will have the opportunity to enter the credit card using our Secure Server after you have completed the registration process. Each individual should fill out the information on this page separately, even if one credit card is paying for multiple people. Use the "Notes" field to explain what is being paid for. If you have already registered for Southern Exposure but are returning here to take care of your credit card payment for any reason (i.e. it got declined yesterday and you fixed it today), you can go straight to the payment page by clicking here.

Name:
eMail:
Street Address:
City:
State:
Zip Code:
Phone (daytime):
Phone (after 6PM):

Type of Membership
$35.00 Complete Membership (entitles you to play in all events, tournaments and LARPs available at Southern Exposure)
$20.00 Visiting Membership (allows access to fixed functions ONLY, such as the Con Suite and the Dealers' Room, and is designed for Spouses, Parents, etc.)

Southern Exposure T-Shirt (add $10.00 to your payment)
Small
Medium
Large
X-Large
2XL
3XL
None

Have you ever been to a Double Exposure event before?
Yes
No

Would you like to be added to our eMail announcement list? (Note: ONLY Double Exposure uses this list, your eMail address will NEVER be given to any other organization!)
Yes
No

Please choose a method of payment:

Credit Card via Secure Server: Once you submit this completed page, you will be given the opportunity to enter your credit card information on our Secure Server. Please note that it is YOUR responsibility to enter the correct amount to be charged AND to explain in the "Notes" field below if there is any discrepancy between the credit card authorization and the person who is actually registering (i.e. Jane Doe is paying for her son, John Doe).
Check: Once your form is accepted, we will give you instructions on where to send the check. Please note that unlike the credit card method, you will NOT be considered registered for Southern Exposure until your check clears.

Notes (please use this field to enter Discount Codes or any other information which deviates from the norm):