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The Garden Club Federation of Massachusetts
219 Washington Street, Wellesley Hills, MA 02481
Phone 781-237-0336
APPLICATION FOR STATE AWARD
 

Date of Application:___________________________________      Please Type or Print

Name of Award:__________________________________________________________

Submitted by:____________________________________________________________

District:_________________________________________________________________

President:_______________________________________________________________

Telephone number__________________   E Mail: _______________________________

Address: Street___________________________________________________________

               Town________________________________________ZIP_________________

___________________________________
Signature of Awards Chair

 __________________________________ 
Signature of Club President 

 __________________________________
Signature of Project Chairman

Please mail Application & Book of Evidence to State Chairman of Awards
USE THE SPACE BELOW FOR A BRIEF  DESCRIPTION, use reverse if necessary: