PLEASE COPY AND PASTE THE FOLLOWING INTO A WORD DOCUMENT

NATIONAL CAPITAL AREA GARDEN CLUBS INC

APPLICATION for STATE AWARDS

(Type or print all information.)

DATE OF APPLICATION: ________________________PROJECT COST _________________

AWARD NUMBER _______AWARD. NAME _________________________________________

NAME OF PROJECT or ACTIVITY ________________________________________________

CLUB. CLUBS. INDIVIDUAL or ORGANIZATION _____________________________________

DISTRICT __________

NUMBER OF CLUB MEMBERS _______ NUMBER of MEMBERS PARTICIPATING ________

CLUB PRESIDENT ___________________________________PHONE ___________________

E-MAIL ______________________________________________________________________

ADDRESS ____________________________________________________________________

PERSON COMPLETING THIS FORM ______________________________________________

PHONE __________________E-MAIL __________________________ ___________________

ADDRESS ______________________________________________________________________

DESCRIPTION Briefly describe project and its cost reserving detailed information for Book of

Evidence. Please indicate size of club, city, and project, noting number of members participating.

Submit financial statement within Book of Evidence.

NOTE Duplicate forms are required! For an award requiring a Book of Evidence or

Documentation, with a paper clip attach both application copies to the inside front cover of an

amphile or theme folder. The deadline for ALL State awards using this form is October 15.

Send to: State Awards Chairman

Exceptions: Send applications for # 18. 20. 21 to your District Awards Chairman.

Revised: October 2003