Cass County 4-H Community Center Renovation
Home Address _____________________________________________________________________________________
Phone _____________________ Email Address __________________________________________________________
I want to make a gift to the Cass County 4-H Association, Inc!
Please designate my gift or pledge to the Community Center Renovation Fund in the following amount:
Return this form to:
Cass County 4-H Association, Inc.
200 Court Park, Room 302
Logansport, IN 46947
I have enclosed the following check as my gift:
Total $_________________ (as designated above)
Signature: _____________________________________________________________ Date: ____________________
DONOR RECEIPT: The Cass County 4-H Association, Inc. gratefully acknowledges receipt of your donation $________ which is deductible as a contribution for Federal income tax purposes under Section 170 of the Internal Revenue Code, pursuant to rulings issued April 24, 1946, and February 9, 1973, by the Internal Revenue Service to the U.S. Department of Agriculture.
If you have any questions, contact:
Cindy Scott – 574-664-4292 or the Cass County Extension Office – 574-753-7750