Conucopia SCIENCE FICTION MASQUERADE                    19990124

Print out and mail (address is at bottom). DO NOT E-MAIL YOUR ENTRY.

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Costume Title________________________________________________________

Source_______________________________________________________________

Designed by__________________________________________________________

Costructed by________________________________________________________

             ________________________________________________________

Worn by______________________________________________________________

_____________________________________________________________________

_____________________________________________________________________


Address of Contact Person for Group: ________________________________

                                     ________________________________

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Check One  ( ) NOVICE                    Check One  ( ) ORIGINAL
                             
           ( ) JOURNEYMAN                           ( ) RE-CREATION

           ( ) MASTER


Dominant color of costume:    __Black __Red  __Orange __Yellow __Blue

             __Green __Violet __White __Gold __Silver __Flesh  __Multi

General Category: __SF  __Fantasy  __Horror  __Myth  __Beautiful __Humorous


                MAIL THIS FORM TO 
                     13657 RAYEN ST.
                     ARLETA CA 91331
                Entries should be postmarked by 08-Aug-1999
                or turned in at the con, by Noon on Saturday.