Butte County 4-H 2021-2022 Online Enrollment Payment Form

✻ = Required

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

Which Program Year Are You Paying For ? ✻

2020-2021 (Last Year) 2021-2022 (Current 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 and/or adults you are paying for.

How many Youth? Please answer with numerals (1, 2, 3...)
Online Youth enrollment is $67.00 to cover bank processing fees

How many Adults? Please answer with numerals (1, 2, 3...)
Online Adult Volunteer 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

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