The Garden Club of Indiana, Inc.
Member of National Garden Clubs, Inc.
Honorarium & Memorial Form

Honorariums are monetary gifts to The Garden Club of Indiana, Inc. honoring a distinguished garden club member who has devoted much time and effort in garden club work at the club, district, or state level. The gift 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 to honor the life or 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) and mail to State Scholarship Chairman
Paulette Balmer, 4541 W Randy Road, Edinburgh, IN  46124-9189 or your District Scholarship Chairman by December 1st.
Date check sent: Check district you are a member of  C     NW     NC 
                                                                                                      CE     SE     SW     CW 
                                                                                                        
Check the appropriate category:Honorarium Amount:   Memorial Amount:  
District/Club/Person Making Contribution:

Address:  
             
City:     State:    Zip:

Person Being Honored/Memorialized:
Send acknowledgement to family/person being recognized:      Yes        No
Name:

Address:

City:     State:     Zip:

Name of Person Sending Check:

Address:

City:    State:    Zip:

Phone Number:

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