Associate Life Member:
Associate Life Member is a non-garden club member sponsored by an individual
garden club member and/or a garden club affiliated with The Garden Club of
Indiana, Inc. They may attend State and/or District meetings, but shall have
no voice or voting privileges. They may not hold office; however, they may
subscribe to The Indiana Gardens.
Please complete this form, enclose check made payable to The Garden Club
of Indiana, Inc. and mail to State Scholarship Chairman Paulette Balmer,
4541 W Randy Road, Edinburgh, IN 46124-9189
by December 1st.
Date check in the amount of
$50.00 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:
Name of New Member:
Address:
City: State: Zip:
Donor's Name (if sponsored):
Address:
City: State: Zip:
If Garden Club is sponsor, indicate club: District:
Name of Person Sending Check:
Address:
City: State: Zip:
Phone Number:
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