Merchandise

Essential Swag Order Form

Complete this form and hit the READY TO PRINT button. A printable version of this form will then appear, already filled out. Please print this out and send it to us, with your payment. Sorry, but we do not offer on-line or credit card purchasing at this time.

Full Name:

Street Address:

City:

State/Province:

(If outside USA and Canada, leave blank and fill in printed form by hand)

Zip/Postal Code:

Phone:

Email:

T-Shirts

Size

Quantity

Cost
Each

Subtotal

Independence Day

Large

$15.00

No One Can Tell You…

Small

$15.00

Medium

$15.00

Large

$15.00

X-Large

$15.00

2X-Large

$15.00

3X-Large

$15.00

4X-Large

$15.00

Buttons

Quantity

Cost
Each

Subtotal

Our Beloved Mascot Connie

$1.00

Connie as Neo

$1.00

Connie as Green Latern

$1.00

Connie as Mummy

$1.00

Connie as Statue of Liberty

$1.00

Franken Connie

$1.00

Super Connie

$1.00

Kiss the Cook

$1.00

Dying to Go to CONvergence

$1.00

CONvergence is Imminent - Connie Head

$1.00

See You at CONvergence

$1.00

Connie Loves Gort

$1.00

Connie and Dracula

$1.00

Connie's Angels

$1.00

Independence Day

$1.00

Masquerade

$1.00

MISFITS

$1.00

Sponsorship Buttons

Quantity

Cost
Each

Subtotal

Original Weasel

$5.00

Monochrome Weasel

$5.00

Connie as Weasel

$5.00

Dead Weasel

$5.00

Coffee Muse

$5.00

Baseball Caps

Quantity

Cost
Each

Subtotal

CVG Baseball Cap

$5.00

MERCHANDISE SUB-TOTAL

SHIPPING AND HANDLING CHARGES

If your order subtotal equals:

$1 to $5

Add $1.50

$26 to $35

Add $6.00

$6 to $15

Add $3.00

$36 to $45

Add $7.50

$16 to $25

Add $4.50

$46 and up

Add $9.00

Shipments are sent by US Postal Service. Requests for shipping by Fed-Ex will be met, but will incur additional shipping charges which will need to be paid prior to shipping. Please provide an e-mail address above so that the extra charges can be confirmed.

I want Fed-Ex shipping

TOTAL AMOUNT

(This is the amount you pay)

Mail the completed form along with your payment (check or money order - U.S. funds only - no cash) to:

CONvergence
Merchandise
P.O. Box 13208
Dinkytown Station
Minneapolis, MN 55414

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