The Garden Club of North Carolina, Inc.

Membership List and Mailing List For The North Carolina Gardener
Instructions: Legibly print or type information specified in the headings below.  If preferred, computer generated membership lists in similar format may be submitted as attachments.  Two copies of the list with a check for dues made payable to The Garden Club of North Carolina, Inc. should be mailed before March 31st to: The Garden Club of North Carolina, Inc., P.O. Box 33520, Raleigh NC 27636-3520.  Send a third copy to the District Vice Director.
200__ 200__ dues for _______ members @ $6.00  $ _________
Delinquent Club: (After May 1 add additional $0.35
for new address plates)                                              $ _________
New Club:  Initiation Fee $5.00                                 $ _________
Total amount of enclosed check                                 $ _________   District Number ___

Name of Club _______________________  _________________  _______________
                                                                                   City                             County
Incoming Club President _________________________  _______________________
                                                                                                            Signature
Mailing Address:  ______________________  __________________   ___________
                              Street Address or  Box Number                     City                                Zip     
Email Address:  ________________________________________________________________

Membership Mailing Information
Fill in blanks below or attach a computerized list in similar format. Indicate Life Members.
Member Names
(in Alphabetical Order)		 Mailing Address City Zip Life
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