Allegany County 4-H Fundraiser Request
Complete and submit the following form before making any fundraiser arrangements.
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Email *
Date of Request *
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Club Name *
Person Submitting Request *
Date(s) of Fundraiser *
Type of Fundraiser - Please include all details.
 *
Purpose of Fundraiser - How will the funds be used. Please include all details.
 *

University programs, activities, and facilities are available to all without regard to race, color, sex, gender identity or expression, sexual orientation, marital status, age, national origin, political affiliation, physical or mental disability, religion, protected veteran status, genetic information, personal appearance, or any other legally protected class.

4-H Office Use Only:

Approved by:______________________________________________________

Date:________________________
A copy of your responses will be emailed to the address you provided.
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