Michigan 4-H Youth Development - 4-H Alumni - Registration Form


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4-H Youth Development Michigan State University 160 Agriculture Hall East Lansing, MI 48824-1039 USA Phone: 517-432-7575 Fax: 517-355-6748 Email: msue4h@msu.edu Disclaimer & Indicia

4-H Alumni

Michigan 4-H Alumni Registration Form

Name____________________________________________________________

Michigan county where a 4-H member___________________________________

What years were you a member? ______________________________________

Current address ___________________________________________________

________________________________________________________________

Current occupation:_________________________________________________

Did you or are you attending college? _____

If yes, where? _____________________________________________________

Would you like to hear from us? (Check all that apply)

___ Yes, I would like to keep in touch. Please send me:

__ Michigan 4-H Today newsletter.
__ Information on how my children can join 4-H.
__ Information on how I can volunteer in my current community.
__ Information on how I can make a gift to 4-H.

___ No, thank you.

Thank you for registering as a Michigan 4-H alumnus!

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Last Updated: January 10, 2005
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