Doris Ann Norris Malice Angels Nomination Form

Doris Ann Norris Malice Angels Nomination Form
The Doris Ann Norris Malice Angels registration grant program is an anonymous program organized to enable those in the Malice community who are in need of financial assistance to continue attending the convention.

This registration type includes lodging Friday and Saturday night, all free events at the convention and includes the banquet on Saturday evening.

Are you or someone you know, in need of assistance to attend Malice Domestic and would benefit from the Doris Ann Norris Malice Angels registration grant program, please submit the nomination form to be considered.
Full Name of Nominee

First NameLast Name
Nominee's E-mail
example@example.com
Nominee's Contact No.
Format: (000) 000-0000.
Your Name

First NameLast Name
Your E-mail
example@example.com
Would the Nominee be able to provide their own transportation to and from Malice as well as food and additional lodging if needed.
Would the Nominee need accessible room? (only because accessible rooms can sell out and we would want to make sure one is available)
Briefly describe why this Nominee should be considered?
Is the Nominee an author?
Should be Empty: