Portland Zine Symposium

Zine/Organization:

Name:

Would you like to be listed in the program?

No
Yes, by Name
Yes, by Zine/Organization

Email:

Phone:

Website:

Address Line 1:

Address Line 2:

City:

State:

Zipcode:

Zines / Projects:

Note: Donation prices are $15 for a half table for 1 day, $20 for a half table for both days, $30 for a full table for 1 day, and $40 for a full table for both days.

None Half Table Full Table

None Half Table

Would you like to preorder a special edition, PZS 10th Anniversary Zine Program ($1)?

No Yes Donation Amount:

Notes:

(reasons you need a full table, people you'd like to be next to, etc)