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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

             ____ 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.