Contact Name *

First Name

Last Name

Phone *

(###)

###

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Which day would you like to be set up at FiveStar Comic Con - Middletown? *

Saturday, Sept 13

Sunday, Sept 14

Terms & Conditions *

By submitting this application, you agree to abide by all event guidelines, code of conduct, and deadlines.

I agree to the above terms & conditions

I do not agree to the terms & conditions