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 Paulette Balmer, 4541 W Randy Road, Edinburgh, IN  46124-9189
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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