The Garden Club of Indiana, Inc.
Member of National Garden Clubs, Inc.
 
Gold Star Application Form
Gold Star Member: A State Life Member or a Scholarship Patron is eligible for Gold Star Membership
 with payment of an additional fee of $50.00. Members receive a gold star.
Please complete this form, enclose check made payable to:
The Garden Club of Indiana, Inc. and
Mail to State Scholarship Chairman Joyce Bulington, 6024 Elm Dr., Marion, IN  46953-6124
 by December 1st.
Check district you are a member of   C     NW     NC    CE
                                                                    SE      SW     CW   
 

Date check in the amount of $50.00 sent

Name of New Member: 

Address: 

City:      State:             Zip:

If Garden Club member, indicate club:

Donor's Name (if sponsored):

Address:

City:        State:     Zip:

If Garden Club is sponsor, indicate club:

Name of Person Sending Check:

Address: 

City:     State:    Zip:

Phone Number:                               BACK