Penny Pines Donation & Reporting Form

June 2021: Some US Forest Service Offices are still closed due to the COVID-19 restrictions.
Please check with your local office before submitting a donation.
You may wish to continue collecting funds and hold until notified that the offices are open and able to receive donations.
Chairman: Nina Blonski, pennypines@cagardenclubs.org
The following form is to accompany your check to the Forest Service and to report donations to the CGCI Penny Pines Chairman
DO NOT MAIL CHECKS TO THE CGCI CHAIRMAN – ALL CHECKS ARE PAYABLE TO AND MAILED TO THE FOREST SERVICE OFFICE SELECTED

Leave this field blank
Individual, club or district
  • Choose
  • Arboretum
  • Bay Bridges
  • Bay Ocean
  • Buttes
  • Cascade
  • Central Coast
  • Channel Islands
  • Costa Verde
  • Desert Empire
  • Diablo Foothills
  • Golden Foothills
  • Greater Los Angeles
  • Humboldt
  • Luther Burbank
  • Mendo-Lake
  • Montana de Oro
  • Orange County
  • Palms to Pines
  • Palomar
  • Plumas-Lassen
  • Roadrunner
  • Sacramento River Valley
  • San Fernando Valley
  • Santa Clara Valley
  • Sequoia Foothills
  • Top `O The State
  • Valley Lode
  • Yosemite Gateway
  • Nothing found
The forest service office where check is to be sent. Click on the office of choice.
  • Choose
  • Angeles National Forest, 701 N. Santa Anita Ave., Arcadia, 91006 (626) 574-1613
  • Cleveland National Forest, 10845 Rancho Bernardo Rd., Rancho Bernardo 92127 (858) 673-6180
  • Eldorado National Forest, 100 Forni Rd., Placerville 95667 (530) 622-5061
  • Klamath National Forest, 1711 S. Main St, Yreka 96097 (530) 842-6131
  • Lassen National Forest, 2550 Riverside Dr., Susanville 96130 (530) 257-2151
  • Los Padres National Forest , 6750 Navigator Way. Suite 150, Goleta 93117 (805) 968-6640
  • Mendocino National Forest, 825 N. Humboldt Ave., Willows 95988 (530) 934-3316
  • Plumas National Forest, 159 Lawrence St., Quincy 95971 (530) 283-2050
  • San Bernardino National Forest, 602 South Tippecanoe Ave, San Bernardino 92408 (909) 382-2600
  • Sequoia National Forest, 1839 South Newcomb St, Porterville 93257 (559) 784-1500
  • Shasta-Trinity National Forest, 3644 Avtech Parkway, Redding 96002 (530) 226-2500
  • Sierra National Forest, 1600 Tollhouse Rd., Clovis 93611 (559) 297-0706
  • Stanislaus National Forest, 19777 Greenley Rd., Sonora 95370 (209) 532-3671
  • Tahoe National Forest, 631 Coyote St., Nevada City 95959 (530) 265-4531
  • Nothing found

Up to five (5) names can be listed on one form. Include full name of all individuals or groups being honored. Type all on one line (the form will automatically wrap text); separate names with a comma.

This is the TOTAL NUMBER of all plantations included in this donation (general, in honor and/or in memory)
Total dollar amount covering all donations listed on this form (1 = $68, 2 = $136 etc.). Checks should be $68 or multiples thereof.
$

In order for the US Forest Service to provide certificates: Please include the complete mailing address (Name, Street or PO Box, City and Zip Code) where certificate(s) is to be sent. Note: If you are honoring/remembering more than one individual, and would like certificates for each individual or family, suggest all certificates be sent to one address (individual, club or district) for distribution.

Individual submitting this form

Print TWO copies before clicking on the Submit button