The Garden Club of Indiana, Inc.
Member of National Garden Clubs, Inc.
 
Land Trust Contribution Form
 
Individuals, Clubs, and Districts can contribute to the Scholarship 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 Ann R. Berge,  449 S Main St., Apt 1, Crown Point, IN  46307-4401  by December 1st.

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

Check the appropriate category:

Individual Gift Amount:
Club Amount:
District Amount:

 Contact Web Chairman for further information if needed.

District/Club/Person Making Contribution:
Address:
City: State: Zip:
Name of Person Sending Check:
Address:
City: State: Zip:
Phone Number:

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