Name of Donor:_____________________________________________________

Address:________________________________________________________

Telephone:__________________________________________________________

In Honor, Memory or Celebration of:

_________________________________________________________________

Please send recognition card to:

Name:____________________________________________________________

Address:__________________________________________________________

Amount enclosed: $__________________________________________________

Reason for Jacaranda Donation:________________________________________

_________________________________________________________________

Please make your $50.00 check payable to: The Village Garden Club of La Jolla and
mail with this form to: Vickie Mogilner
                                       5865 Friars Road #3103
                                       San Diego, CA 92110

Questions?  Just call Vickie at 619/297-1042