SCHOLARSHIP FUND

State Chairman Use:
Received:
Recorded:
Letter:
Treasurer:

HONORARIUMS
MEMORIALS

District_____________________ Date______________
Please check the appropriate category:

___Honorarium ___Memorial Amount_____________

Person being honored/memorialized_______________________________________

Send acknowledgement to family/person being recognized ____Yes ____No
Name__________________________________________________________
Address________________________________________________________
City________________________________ State___ Zip_____________

District/club/person making contribution_________________________________
Address ________________________________________________________
City________________________________ State___ Zip_____________

Name of person sending check ______________________________________
Address _______________________________________________________
City________________________________ State___ Zip_____________
Phone _______________________ E-mail ____________________________

Honorariums are monetary gifts to The Garden Club of Indiana, Inc. honoring person(s) who have devoted time and effort to garden club work at the club, district or state level. Gifts will be inscribed in the Honorarium Book of The Garden Club of Indiana, Inc. and will be on display at the State Convention.
Memorials are made in memory of family or friends. Gifts will be inscribed in the Memorial Book of The Garden Club of Indiana, Inc. and will be on display at the State Convention.
Please complete this form. Enclose check made payable to The Garden Club of Indiana, Inc. (in lower left corner of check write Scholarship Fund). Mail, postmarked by the December 1 deadline to qualify for current year awards, to the State Scholarship Chairman: Joyce Bulington, 6024 Elm Dr., Marion, IN 46953-6124