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Pink - Application Form

 

NGC PLANT IT PINK AWARD APPLICATION

No limitation on the number of club entries for this project

Club Name:______________________________________________________

 

City/Town:_______________________________________________________

 

District: _________________________________________________________

 

Number of Members Participating:______________

 

Contact Person:__________________________________________________

 

Address:________________________________________________________

 

______________________________________________Zip______________

 

Phone: __________________________________________________________

 

Email: ___________________________________________________________

 

Project Location: __________________________________________________

 

City/Town:________________________________________________________

 

A brief description of the project:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attach photos to the back of application.

 

Send application to State Plant It Pink Chairman: 

Elayne Santos – 47 Akin Street   Fairhaven, MA  02719 - No later than April 15, 2013