If you like what you've seen so far and are interested in attending ACNW 2011, then this form is your first step. Fill it out, preview it, and send it off to us. Confirmations are returned to you by a human being within 48 hours. If you don't receive this confirmation, let us know as soon as possible [ simonepdx (at) gmail.com ].


I am interested in attending AmberCon Northwest, November 3-6, 2011 at McMenamin's Edgefield Bed & Breakfast in Troutdale, Oregon. I understand that my space is not reserved until I have paid my membership fee and received confirmation from the organizers. Payments will be refunded only if the convention is canceled.

1. I am so interested that I can commit to helping make ACNW 2011 a reality; I'm sending out my membership fee to Simone right now. (see address below)
2. I am committed to attending ACNW; here is my $30 towards my membership deposit, due by July 1, 2011. I understand payment in full is due August 27, 2011.
3. I am not quite that interested, but please keep me on the mailing list under "Freeloaders".  ;-)

  I will attend from Thursday evening through Sunday evening (Slots 1-7) for $105, or...
  I will attend from Friday evening through Sunday evening (Slots 4-7) for $90.00.


Room Summary
Please note that all room types are limited in number, and will be filled first-come, first served. If you are reserving a Twin room in particular, please let us know your preferred second choice room type.

The listed price below does not include 13.45% Oregon hotel tax. Also, each person over two in a room will incur an additional $15 charge per night.

THESE RATES ARE SUBJECT TO CHANGE. YOU CAN CHECK CURRENT ROOM RATES AT http://www.mcmenamins.com/128-edgefield-room-rates

I will be arriving at the convention hotel on:
I will be checking out of the convention hotel on:

I understand that if I do not notify AmberCon NW [ simonepdx (at) gmail.com ] at least 48 hours in advance of any changes to this information, I may be charged for hotel nights reserved but not used.

Rooms with bath facilities "down the hall", bed & breakfast style:

A.   Twin -- one twin bed. SOLD OUT $50 / night. Maximum 1 person.
B. Queen -- one queen bed. $60 / night Sun-Thurs; $70 / night Fri, Sat. Maximum 2 people.
C. King -- one king bed. $75 / night Sun-Thurs; $90 / night Fri, Sat.

Maximum 3 people with rollaway.
D. Double Queen -- two queen beds. $80 / night Sun-Thurs; $95 / night Fri, Sat. Maximum 4 people.
E. Hostel Room -- a bunk bed space and locker in shared, single-sex room. $30 / person / night. Sleeps up to twelve.
F.   Gaming* King -- one king bed (minimum Thurs-Mon stay) SOLD OUT $75 / night Wed; $45 / night Thu*, Sun*; $60 / night Fri*, Sat*. Maximum 2 people.
G.   Gaming* Double Queen -- two queen beds (minimum Thurs-Mon stay) SOLD OUT $80 / night Wed; $50 / night Thu*, Sun; $65 / night Fri*, Sat*. Maximum 4 people.
FAMILY There is also one third-floor "Family" room -- one queen bed + 4 bunk beds. Please contact Simone for booking. $150 / night Sun-Thurs; $175 / night Fri, Sat. Maximum 6 people.

Rooms with en-suite bath facilities:

H.   Queen Suite SOLD OUT $110 / night Sun-Thurs; $125 / night Fri, Sat. Maximum 2 people.
I.   King Suite SOLD OUT $110 / night Sun-Thurs; $135 / night Fri, Sat. Maximum 3 people with rollaway.
J.   Gaming* King Suite (minimum Thurs-Mon stay) SOLD OUT $120 / night Wed; $90 / night Thu*, Sun*; $105 / night Fri*, Sat*. Maximum of 2 people.
K.   Gaming* Double Queen Suite (minimum Thurs-Mon stay) SOLD OUT $120 / night Wed; $90 / night Thu*, Sun*; $105 / night Fri*, Sat*. Maximum of 4 people.

* Game Rooms: These are suites reserved for game play and the listed price includes a $30 discount from ACNW for gaming nights. Be advised that while we will do our best to make sure that the rooms are used for games you are actually in, in exchange for the discount the game space will be scheduled at the discretion of the organizers.

L. Other; N/A.

Room Preferences & Notes: (optional)


Choose one of the options below:

1. I will be rooming with:
(list names)
2. I don't mind who I room with; please assign me a roommate or roommates. (Double Queen option only.)
3. Other, N/A.


Please fill out the following information:

Name
Full Snail Address
Email
Telephone
Message to Simone
(optional)

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Payments should be made out to:
Simone Cooper

and sent to

AmberCon NW
c/o Simone Cooper
8047 N. Syracuse St.
Portland, OR 97203-4939

If you should need to contact Simone [ simonepdx (at) gmail.com ] by telephone, please call (503) 283-0542 before 9:00 PM west coast time.

Last Modified: 04/10/11