Gift Designation
Statewide 4-H Support
Iowa 4-H Youth Development Fund
(Gifts allocated to priority program needs) 		 $   
Local 4-H Support
County 4-H Fund: 		 $   
Sustaining 4-H Programs and Recognition
  $   
Other Designation

  $   
Total Amount:  $ 
 

Tributes
Gift made in memory of
Gift made in honor of
Gift made on behalf of

Special Instructions

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