*(Use only if one is not provided by your 4-H volunteer)
Name:___________________________________________________________________________
Street:___________________________________________________________________________
City: _____________________ State: _________ Zip: _____________ Phone ____________
4-H Club Name:___________________________________________________________________
Publication # Publication Name Cost
_______ ______________________________________________________________ __________
_______ ______________________________________________________________ __________
_______ ______________________________________________________________ __________
_______ ______________________________________________________________ __________
_______ ______________________________________________________________ __________
Project Supplements/Helpful Materials Cost
_______ ______________________________________________________________ __________
_______ ______________________________________________________________ __________
Check here if you plan to take your project(s) to county-level judging and need county judging requirements.
Project Manuals ($1/book)
Return this form with payment to your 4-H volunteer. Make checks payable to your county Extension office.
Each project manual is $1 unless stated otherwise by your county office.