The Garden Club of Indiana, Inc.
Member of National Garden Clubs, Inc.
 
Habitat for Humanity Contribution Form
 
Individuals, Clubs, and Districts can contribute to this Fund.

Please complete this form, enclose check made payable to The Garden Club of Indiana, Inc.
(in lower left corner of check write Habitat for Humanity or World Gardening)
and mail to the State Chairman Marcia Holcomb,6408 Shamel Dr , Indianapolis, IN 46278 –1170
or your District Director 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:

Name of Person Sending Check:

Address:

City:       State: Zip:

Phone Number:


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