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