Document 15401101

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Berks County Office

1238 County Welfare Road, Suite 110

Leesport, PA 19533-9709

Tel: 610-378-1237 Email: BerksExt@psu.edu

Fax: 610-378-7961 Web: extension.psu.edu/berks

Sponsor copy:

Date________________________________________

The amount of $25.00 for sponsorship has been pledged and paid for by

Name _____________________________________________________________________

Address____________________________________________________________________ for awards will be sponsored for a total monetary donation of .

Checks should be made payable to Berks County 4-H Goat Club mailed to: Cheryl Folk, 427 Eagle Rd., Kutztown PA 19530

Received by:

_________________________ ______________________________

4-H Leader 4-H Club

 _________  _________________________________________________________

Seller Copy:

Date________________________________________

The amount of $25.00 for sponsorship has been pledged and paid for by

Name _____________________________________________________________________

Address____________________________________________________________________ for awards will be sponsored for a total monetary donation of .

Checks should be made payable to Berks County 4-H Goat Club mailed to: Cheryl Folk, 427 Eagle Rd., Kutztown PA 19530

Received by:

_________________________

4-H Leader

______________________________

4-H Club

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