[Asianmedia] PAPERWORK PART I

[Katherine Elisabeth Roman]

PART I.

Please respond to this email with the following information.
Your information must match what is on your legal picture ID, which you must
present at the con to get your badge--

[copypasta this and fill it out.]

First Name:
Last Name:
Street Address:
City/Town:
State:
Zip Code:
Country:
Date of Birth: [mm/dd/yyyy]
Gender:
Badge Name [its what you want your badge to say. Like mine last year was Sister
Tsundere or some shit]:
Email address: