State Garden Club --- GARDEN CLUB OF NORTH CAROLINA, INC.

 Date: ____________________

Name of Applicant: ________________________________________________

Mailing Address: __________________________________________________

City, State, Zip Code: ______________________________________________

Garden Club:  ______________________________________District: ________

If a gift or surprise, send to: __________________________________________

Mailing Address: __________________________________________________ 

Presentation Date: ________________________________________________

National Life Membership Fee: $200.00
Make check payable to: NATIONAL GARDEN CLUBS, INC.
Would you like free subscription to The National Gardener? YES NO
Half of the fee goes to the Permanent Home and Endowment Fund and half to
the NGC Scholarship Fund. Please allow one month for processing.

South Atlantic Regional Life Membership Fee: $65.00
Make check payable to: SOUTH ATLANTIC REGION, NGC, INC.
Fee goes to the SAR Scholarship Fund.

State Life Membership Fee: $100.00
Make check payable to: THE GARDEN CLUB OF NORTH CAROLINA, INC.
Half of the fee goes to the Daniel Boone Native Gardens and half to the Elizabethan Gardens.