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Get and Sign Ss 4 Form 2009
Different from name on line 1)
Insert the club name- be sure to include 4-H in the name
3
Executor, administrator, trustee, “care of” name
5a
Street address (if different) (Do not enter a P.O. box.)
5b
City, state, and ZIP code (if foreign, see instructions)
LEAVE BLANK
Name of volunteer leader of club, group, committee, etc.
4a
Mailing address (room, apt., suite no. and street, or P.O. box)
4b
City, state, and ZIP code (if foreign, see instructions)
6
County and state where...
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