THE GARDEN CLUB OF NORTH CAROLINA, INC.
CATEGORY WINNERS OF STATE AWARDS
Date _________________             

NOTE: Please prepare two copies - type or print.  Keep one copy for your records and send one copy to State Awards Chairman.

1.  IDENTIFICATION OF AWARD:
    a.  Name and Number of Award _______________________________________________
    b.  Name of Category Chairman ______________________________________

2. WINNING ENTRIES:
        NAME (Club, Council, District, or Individual)              TOWN                                DISTRICT
        FIRST: ________________________________________________________________
                                   (On the following lines, give a brief description of first place project) ___________________________________________________________
___________________________________________________________        ___________________________________________________________
        SECOND: ________________________________________________
       THIRD: __________________________________________________
       HONORABLE MENTION: ___________________________________
                                                    (More than one Honorable Mention may be awarded, if merited.)

3.  MAILING ADDRESS AND PHONE NUMBER of winners may be needed.  Please put the
     mailing address of the club President and her phone number below.  Please list in the same
     order as winners are listed above.
      FIRST: ____________________________________________________
    SECOND: __________________________________________________
    THIRD: ____________________________________________________
    HONORABLE MENTION: _____________________________________

4.  NAMES OF JUDGES:
      a. ________________________________________ Chairman
    b. ________________________________________
    c. ________________________________________
********************************************************************************************
    PLEASE LIST NUMBER OF ENTRIES YOU RECEIVED FOR THIS AWARD, BY DISTRICT:
    Dist 1 _____   Dist 2 _____  Dist 3 _____  Dist 4 _____  Dist 5 _____  Dist 7 _____  Dist 8 _____
    Dist 9 _____  Dist 10 _____  Dist 11 _____  Dist 12 _____           

TOTAL NUMBER OF ENTRIES:  ___________
                                                                                                     ________________________________
                                                                                                                                  (Chairman)