I understand that my contribution will go directly into the National Capital

Area Garden Clubs’ Scholarship Funds and its Awards program.

                 Name_____________________________________________________________

                 Address___________________________________________________________

                 City_______________________________State_________Zip_______________

                 Garden Club_________________________________________District________

Fill in if applicable:

Donated by________________________________________________________

Donor’s Address____________________________________________________
__________________________________________________________________

Is there a specific date (a District meeting, for instance) at which this is to be

Presented?  If so, what date?_____________

Is it to be a surprise?  Yes___  No____

For address for form submission, please contact lifemembership@ncagardenclubs.org