2003-2005 Awards Application Form

Award Number ________ Award Name ____________________________________________
Submitted by State Garden Club/IA: _______________________________________________
Name of Applicant ____________________________________________________________
    (type/print exactly as name should appear on any award received: name of club, group of clubs, district,
      state, region, individual, institution or organization)
Size of Garden Club (if applicable) ________________________
     (i. - small under 29 members, ii - medium 30-99, large over 100; determined by number of members on
     whom NGC and state dues are paid, including Active, Associate, Inactive, Honorary, etc.)
Size of State Garden Club (if applicable) ____________________________ (size determined by number
     of members on whom NGC dues are paid, including garden club members, Affiliates, State Life
     Members, etc.)
Summary of Project (not needed for Yearbooks) approximately 3-4 sentences including: (Name of club, city,
      description of project, benefit, accomplishments, other organizations involved, etc.)
or Flower Show Achievement Awards
     (title of Flower Show, club name, city, membership, percentage participating, total number of exhibits in
     Horticulture, Design, and Special Exhibits Division, Top Exhibitor Awards offered and awarded, Flower
     Show funding, etc. see Handbook for Flower Shows, 2003 revision, pg 48-49 for detailed information)

Signature of State Awards Chairman ____________________________________________________

Address, telephone, fax, email ______________________________________________________

Signature of State Garden Club/IA President ______________________________________________

*** Attach one copy of NGC Awards Application Form permanently to inside front cover of
Book of Evidence; attach second copy with paperclip. Yearbook: attach both copies with
paperclip. Publications: enclose publication and both copies inside an envelope.