{ ) Membership Application Mail to:

[ ) Membership Renewal The Potters Guild of B.C.

[ ]) Change of Address 1359 Cartwright St.
Vancouver, B.C. V6H 3R7

Name:

Address:

City & Province:

Postal Code: Tel: :

I enclose my cheque/ money order in the amount of $
{ Fees: Individual: $20/year, Group: $30/year)

Yes. I want to attend the Yu Fujiwara workshop, June 12-13 and the reception
following, June 13, 4:30 p.m.

Name

Address

Phone