<p> Ohio 4-H Name and Emblem Request Form</p><p>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.</p><p>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.</p><p>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</p><p>Name of Club, Company, Association, Individual______</p><p>Address______</p><p>Phone______email______</p><p>Proposed Use of the 4-H Name and Emblem:______</p><p>______</p><p>List the products that you plan to sell or promote while using the 4-H Name and Emblem</p><p>______</p><p>Describe how Ohio 4-H benefits______</p><p>______</p><p>What county (s) will the 4-H name and emblem be utilized in during your sales or promotions______</p><p>Proposed dates of use of the 4-H Name and Emblem for fundraising or promotions______</p>