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Application for Youth Garden Club Membership
THE GARDEN CLUB OF NORTH CAROLINA, INC.
Mail three copies of this form to the Youth
Chairman along with dues and initiation fee.
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Date of Application ________________________
Name of Youth Garden Club _____________________________________________
[ ] Ecotots Preschool - Kindergarten [ ] Junior
1st - 6th grade
[ ] Intermediate 7th - 9th grade [ ] High School 10th - 12th
grade [ ] Special Needs
Town ____________________________________________ District
____________
Number of Members: _________________
Sponsor Club: ________________________________________________________
Initiation Fee: $1.00 per club
Annual Dues: $ 10.00 per club Total: $11.00
Make check to The Garden Club of North Carolina, Inc.
(Included is membership in National Garden Clubs, Inc. Only adult
annual dues include
subscription to The North Carolina Gardener)
Youth Club Leader:
_____________________________________________________
Address:______________________________________________________________
Telephone: __________________________ email: _____________________________
Sponsor Club President: __________________________________________________
Address: ______________________________________________________________
Telephone: __________________________ email: _____________________________
Application Approved: __________________________________ Date:
____________
(Youth Chairman Signature)
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