Please fill out in triplicate and mail all three copies to the District Director who will forward to the First Vice-President with duplicate membership list and check for dues and initiation fees.  Youth Gardener Clubs - send to Youth Chairman

Application of Club for Membership in
THE GARDEN CLUB OF NORTH CAROLINA, INC.
                                                                                     Date of Application _____________________
Name of Club _____________________________________________________
[   ]  Adult Club     [   ]Youth Gardener Club       Ages _______________________
Name of Town  ____________________________________________________
Date of Organization __________________    Number of Paid Members  ________
By Whom Recommended? Name of Club ____________________________
President Sign ____________________________
Initiation Fee ________ Adult, $5.00 Per Club       _______   Youth, $1.00 Per Club
Annual Dues ________ Adult, $8.00 Per Member  _______  Youth, $10.00 Per Club
Reinstatement ________ $3.00 Per Member

(Including membership in National Garden Club
 
OFFICERS OF CLUB
President  ____________________________________________________________
  Address ____________________________________________________________
Treasurer ____________________________________________________________
  Address ____________________________________________________________
Application Approved __________________________________________________
                                                        (District Director Signature)
District No. ________    County ____________________   Date  ________________