MidSouthCon 38 Data Entry Data Entry FormData Entry form for post-con entry only!First NameMiddle NameLast NameAgePhone #Email AddressBadge NameAddress Line 1Address Line 2CityStateALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIAPUERTO RICORHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWEST VIRGINIAWISCONSINWYOMINGPostal/Zip CodeCountryPlease choose all that applyAdult Full WkndChild Full WkndAdult FriChild FriAdult SatChild SatAdult SunChild SunCSGBanquetSubmit