District 7 FFA Dues

Each chapter is required to pay $.50 per member dues for our district. Please complete the following information and return with a check made out to District 7 FFA to:

Susan Metzger

Logan Elm High School

9575 Tarlton Road

Circleville, OH 43113

Keep the top portion of this form for your records. If you have any questions, please contact Susan at 740-474-7503 ext. 520.

Check Number ___________ Date ____________

Number of students in chapter ________X $.50 = _________

Please return this portion with your payment.

Name of Chapter______________________________________

Address____________________________________________

City _______________________ Zip __________________

Telephone: ______________________

Advisor: ______________________________________

Number of students in chapter ______ X $.50 = _________

For Treasurer Use: Date Received __________ Check Number _________