The Garden Club of Indiana, Inc.
Member of National Garden Clubs, Inc.
 
Land Trust Contribution Form
 
Individuals, Clubs, and Districts can contribute to the Land Trust Fund.

Please complete this form, enclose check made payable to The Garden Club of Indiana, Inc.
(in lower left corner of check write Land Trust)
and mail to Mary Peat, 1225 Carrol White Dr. , Indianapolis, IN 46219-3907       by December 1st.

Date check sent    Check district you are a member of  C     NW     NC           
                                                                                                  CE    SE      SW      CW   

Check the appropriate category:    Individual Gift          Amount:
                                                     Club                      Amount:
                                                     District                   Amount:

District/Club/Person Making Contribution:

Address:

City:        State: Zip:
E-mail Address for recipient Thank you acknowledgement 

Name of Person Sending Check:

Address:

City:       State: Zip:

Phone Number:
E-mail Address 

      

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