Designed by Alfred Kózka.
Obverse: bust right, in armor
+ GEORG + WILHELM + D + G + DVX + SILESIAE + LIGN + BREG + & + WOLAVIENS +
Reverse: in the border an inscription in 16 lines, above III / WALNY ZJAZD / DELEGATÓW PTN, na dole PTN / O/LUBIN / 1997