Ohio 4-H Name and Emblem and Fundraising Request Form

Ohio 4-H Name and Emblem Request Form

The 4-H Name and Emblem is a federal trademark protected by 18 USC 707. Request to use the 4-H Name and Emblem in Ohio in fundraising, sale of product(s), or other promotional use must be submitted to the County 4-H Educator in which it is to take place.

Request for use of the 4-H Name and Emblem in more then one Ohio County must be submitted to: OSU Extension Center at Wooster; Attn: 4-H Name & Emblem, 1680 Madison Avenue; OARDC Admin. Building; Wooster, OH 44691-4096.

Use of the 4-H Name and Emblem beyond Ohio or multi state, must be approved by the Administrator, Cooperative State Research, Education and Extension Service, Dept. of Agriculture, C/O National 4-H Headquarters, 1400 Independence Ave. SW, MS 2225, Washington D.C 20250. Shipping of products to: 800 9th Street SW, Room 4333, Washington D.C. 20024. Visit on the web at: National4-hheadquarters.gov

Name of Club, Company, Association, Individual______

Address______

Phone______email______

Proposed Use of the 4-H Name and Emblem:______

______

List the products that you plan to sell or promote while using the 4-H Name and Emblem

______

Describe how Ohio 4-H benefits______

______

What county (s) will the 4-H name and emblem be utilized in during your sales or promotions______

Proposed dates of use of the 4-H Name and Emblem for fundraising or promotions______