Butte County 4-H 2022-2023 Online Enrollment Payment Form

✻ = Required

Payor Information (Please do not use Auto-Fill):

Which Program Year Are You Paying For ? ✻

2022-2023 (Current Year) 2021-2022 (Prior Year)

Email address: ✻

Last Name: ✻

First Name: ✻

Daytime Phone Number: ✻

4-H Membership Information

4-H Club: ✻

List all youth members you are paying for, please separate multiples with a comma: ✻

List all adult volunteers you are paying for, please separate multiples with a comma:

✻

Check a payment box and select the number of youth or Adult

How many Youth? Please answer with numerals (1, 2, 3...)
Online Youth enrollment is $64.00 to cover bank processing fees

How many Adults? Please answer with numerals (1, 2, 3...)
Online Adult enrollment is $36.00 to cover bank processing fees

Why is there a processing fee?

These fees are unavoidable charges by banks and can run anywhere from 1-5% of the amount charged. We averaged 2.7% per transaction last year, so the online enrollment fee reflects the projected cost for this year.

Enter the amount you are paying via credit card. Double-check your math if you're paying for more than one person! ✻

required charge

Survey Verification✻

For verification that you are human, please enter the following code in the box below:
PZPSRH

(if the code is not entered correctly, the survey will not be submitted)