CT Life Membership Application

The easiest way to apply is to use this form and a Credit Card. If you need to pay by check please take a screen shot of this form, fill it out and send it with a $100 check to The Federated Garden Clubs of Connecticut, Inc., P.O. Box 902, Wallingford, CT 06492

"*" indicates required fields

Contact Person*
Contact Person Address*
Contact Email*
Name of Honoree*
Honoree's Address
MM slash DD slash YYYY
Life Membership Fee*

Thank you very much for taking the time to provide this information. You will receive a full copy of your entries upon submission.

This field is for validation purposes and should be left unchanged.