STARFLEET
The International
Star Trek Fan
Association,Inc
Registration Desk Closed
Name
Adults Guest 1 Attending
Childeren under the age of 16 attending
(List names use comma to separate them)
State
Country
City
Adult Guest 2 Attending
Please Register if you are planning to attend the R11 summit.
Region 11 Summit 2010
Our 2nd Summit will be in Adelaide SA on the 7th August 2010
Please contact Liam Smith (Summit Director) for more information
STARBASE ELEVEN
HEADQUARTERS
FOR REGION 11
STARFLEET INTERNATIONAL
