Penny Pines Donation Form - Print and Mail

Date:________________________________________________________

Name of Club:  The Village Garden Club of La Jolla

Club District:  Palomar     Forest:  Cleveland National Forest

Number of Plantations Purchased: __________  Total $Amount_____________

In Honor of (or) in Memory of:_______________________________________

______________________________________________________________

Address of  Honoree:____________________________________________

_______________________________________________________________

Sent by (Name):__________________________________________________

Address of Donor:________________________________________________

______________________________________________________________

Donor's phone:__________________________________________________

Please complete form and mail with check  ($68.00 for each plantation)  payable to:

The Village Garden Club of La Jolla/Penny Pines

Mail to:  Margaret Herrick 6442 Cardeno Drive  La Jolla, CA 92037

Questions? Margaret Herrick 858/459/1475