4-H Form FillOut Application

If you’re a member of the Southeastern Indiana Rural Telephone Cooperative and your child or children plan to have an animal available for purchase at your county’s 4-H Fair Livestock Auction, please LET US KNOW. We are proud to purchase livestock from some of the children of the members each year at area 4-H livestock auctions.

Please submit the form below by May 12th, 2023.

SEI Member Name *

SEI Account Number *

Landline Phone Number *

Best Contact Number *

Email Address *

Street Address *

City *

Zip Code *

Child 1 Name: *

Age: *

Animal(s): *

Child 2 Name:

Age:

Animal(s):

Child 3 Name:

Age:

Animal(s):

Child 4 Name:

Age:

Animal(s):

6 + 4 =