Check Registration Form

Don’t forget to
Confluence T-shirts are not guaranteed unless you pre-order. 

Use this form ONLY if you are purchasing your membership by check.
Complete this form before June 30th and click [SUBMIT] then mail your check to:

Confluence Membership
PO Box 79281
Pittsburgh, PA 15216

Registrations through this form after June 30th will not be honored!

  • Make sure a name on the check matches at least one name that you are purchasing the memberships for so we can allocate the check to the correct membership.
  • If you are purchasing a membership for someone not listed on your check, please include a note with your check and list the names of the people the memberships are for.
  • Please be aware that your name may not be added to the Registered Members page until after we process your check payment. This may take up to a month.

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Please indicate you understand that this is a CHECK ONLY registration form.
Legal Name
Please include the memberships you are registering for. For example: Adult membership + Full Weekend + Price. Or Child membership, Saturday only + Price
I have read and agree to the Confluence Refund Policy
I have read and agree to the Confluence Code of Conduct
Help us save postage & paper. We are switching to emailed Confluence reminders through our newsletter. If you need a paper flyer for next year, check the box and we will mail you one. Mail me a paper flyer.

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  • Please read our Code of Conduct
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    Confluence is a program of Parsec Inc., a 501(c)3 non-profit corporation.
    Donations are tax deductible.

    Parsec Inc., is an equal opportunity nonprofit organization and does not discriminate based upon age, ethnicity, ancestry, gender, gender expression, national origin, disability, race, size, religion, sexual orientation, military status, socioeconomic background, or any other status prohibited by applicable law.