The Garden Club of Indiana, Inc.
Member of National Garden Clubs, Inc.
 
Scholarship Patron Form
 
Individuals, Clubs, and Districts can contribute to the Scholarship Fund.

Please complete this form, enclose a $100 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 Joyce Bulington, 6924 Elm Drive, Marion, IN  46953-6124
or your District Director by December 1st.

Date $100 check sent       Check district you are a member of  C     NW      NC     CE        
                                                                                                                                     SE       SW     CW                
                                                                                                                                         
Check the appropriate category:    Individual/ Gift                Amount:
                                                     Club/Gift                       Amount:
                                                     District/Gift                    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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