Project Literature Request Form-La Crosse County 4-H
You can choose up to 5 pieces of literature for free as part of your member dues. Any additional literature that is not already available to you online can be purchased. To choose your literature, please refer to our online Project Guide (http://lacrosse.uwex.edu/files/2017/08/2017-2018-Project-Guide.pdf). Please be aware that as literature is claimed, availability may slightly differ as listed in the Project Guide. Your information will be used to contact you when your literature is ready to be picked up at the UW-Extension office. NOTE: Submit one form per youth. Please contact
608-785-9593 or lacrossecounty4h@lacrossecounty.org with questions.
Requester Name
Your answer
Youth Name
Your answer
Youth Grade
Club Affiliation
Have you paid your club dues for the 2016-2017 year?
Email Address
Your answer
Phone Number
Your answer
What is your preferred contact method?
Literature Choice #1 (free)
Literature Choice #2 (free)
Literature Choice #3 (free)
Literature Choice #4 (free)
Literature Choice #5 (free)
Other Requested Literature Titles
These titles should include those not listed above or in addition to your 5 free titles that you would like to receive. Some of these titles may require you to purchase them, check them out from the office for a short period of time, or view them online for free as a PDF document. A comprehensive list and descriptions of all titles can be found online in the Project Literature Guide at http://lacrosse.uwex.edu/files/2017/08/2017-2018-Project-Guide.pdf.
Your answer
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