Membership forms
Below is an HTML version of the membership form for Potlatch 10. Mail
to the address listed.
Also available is a PDF file (which requires a copy of the Acrobat Reader), and a text version.
See the text version for British mailing address.
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Memberships in Potlatch 10 are $35 until 2/9/01, and will be $40 at the door. Supporting memberships are $10. Checks should be made out to Clarion West/Potlatch 10 and sent to:
Potlatch 10
c/o Mary Kay Kare
P. O. Box 3042
San Ramon, CA 94583
Name_________________________
Address________________________
_____________________________
E-mail address (optional)_______________
Phone (optional)__________________
Please contact me about my program idea __________________________________________________
____ Potlatch memberships at $35 each
____ Potlatch Supporting Memberships at $10 each.
____ Potlatch Banquet tickets at $20 each
$___ Total enclosed
Potlatch 10 is a non-profit literary convention for the readers and
writers of speculative fiction. Proceeds benefit Clarion West, an intensive
six-week workshop for writers preparing for professional careers in
science fiction and fantasy.
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