Pacific Region
National Garden Clubs, Inc.
Washington, Arizona, California, Oregon, Nevada, Idaho, Alaska, Hawaii
Pacific Region Life Memberships
Honoring Our Members & Supporting the Scholarship Program
Recognize and reward your members with a Pacific Region Life
Membership to celebrate their guidance and commitment to
strengthening your club, state organization, and/or region.

Life memberships may be purchased by individuals, organizations or districts to honor a
member or individuals may purchase their own.

The donations support the Region’s scholarship program and are fully tax deductible.

The application forms are available from the Life Membership Chairman or can be found
on the Pacific Region website:
http://www.pacificregiongardenclubs.org/Forms
 Print a copy of the application form to mail with your check.

Send completed applications and checks to:
Pacific Region Life Membership Chairman
Alexis Slafer
6111 South Kings Road
Los Angeles, CA 90056-1630
 The Life Membership donation is $40.
 The donation includes a Life Membership pin and certificate, along with a welcome
letter.
 Make check payable to: NGC - Pacific Region.
Pacific Region
National Garden Clubs, Inc.
Washington, Arizona, California, Oregon, Nevada, Idaho, Alaska, Hawaii
Pacific Region Life Membership Application
State Federation:
Date:
Name of Recipient:
Address:
City/State/Zip+4:
Telephone:
Email:
Member of (Club Name) /District:
Given by:
(Name of club, district, or individual)
*****************************************************************************************************
Is this Life Membership to be a surprise? Yes
No
Date needed:
If a surprise, send the certificate, pin and letter of welcome to:
Name:
Address:
City/State/Zip+4:
Telephone:
Email:
Life Membership Donation (includes a Life Membership Pin): $40.00
 Print a copy of this form to mail with your check.
 Make checks payable to: NGC - Pacific Region.
 Send completed applications & checks to Pacific Region Life Membership
Chairman:
Alexis Slafer
6111 South Kings Road
Los Angeles, CA 90056-1630
Thank You! Life Memberships help support Pacific Region scholarships.