Arkansas Federation of Garden Clubs, Inc.  

Date__________  Award #  ________  (if applicable)

AFGC Award ______________________________________________________

Name of Club _____________________________________________________

District _______:  # of members in club____________

President of Club __________________________________________________

Pres. Phone #_____________________________________________________

Individual submitting application_____________________________________

Address of Applicant_______________________________________________

City _________________________________________ Zip________________

E-mail___________________________________________________________

 (Please make several copies of this form before completing it.  Additional forms may be needed if submitting other books of evidence for awards).

If submitting History Book, does it cover 1,2, or 3 yrs? (Circle one)

Briefly descibe work of club, council, or individusl.  (No summary needed for Yearbook). Attach 2 copies of completed application to book of evidence or required material.  Type or print all information.