The Garden Club of Indiana, Inc.
Member of National Garden Clubs, Inc.
 
Scholarship 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 Scholarship Fund)
and mail to the State Scholarship Chairman Paulette Balmer, 4541 W Randy Road, Edinburgh, IN  46124-9189
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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