THE POTTERS GUILD OF BRITISH COLUMBIA
(the "Society")

INSTRUMENT OF PROXY

The undersigned hereby appoints David Zawaduk, or
failing him, Angela Squires, as proxy for the undersigned
to attend, speak, act and vate for and on behalf of the
undersicned at the Extraordinary General Meeting of the
Society to be held on the 15th day of January, 1986, and
at any adjournment of that meeting.

Signed this day of December/January, 1985/1986
(Delete as applicable)

(Signature of Member)

(Please Print Name and Address
in full)

Mail teas
The Potters Guild of B.C.
1359 Cartwright Street
Granville Island,
Vancouver, B.C. V6H 3R7

Membership Application
Membership Renewal
Change of Address

a
a

Name: |
Address:
City & Prov.

Postal Code: Tel:

I enclose my cheque/money arder in the amount of
- «¢

b

|
(Fees are $15/yr. for individuals and $25/yr. for groups)
Memberships run from September Ist. to September lst.

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