Bank Account and ACH Agreement

To be completed by the Troop Leader and submitted annually, within two weeks of opening an account, at any time signers’ change or when bank account information changes.

Troop accounts must be set up as checking account, with the title: Girl Scouts of Hawaii, Troop #______ (indicate your troop number); using Girl Scouts of Hawaii Federal Tax Identification Number #99-0073488.

Account Information

Troop Number
*
Service Unit
Financial Institution
*
Branch
ACH Routing Number
Account-Number
*

Branch Street Address

Branch City, State, Zip

Girl Scout Finance Agreement

Girl Scout funds must be deposited in a non-interest bearing account at a financial institution under the name of Girl Scouts of Hawaii, Troop #______ (indicate your troop number); using Girl Scouts of Hawaii Federal Tax Identification Number #99-0073488.

A minimum of two unrelated Girl Scout Adult Members, in good standing with council and with a Clear Criminal Background check, may serve as authorized bank signatories. We understand this account is only for the purposes of Girl Scouts of Hawaii and is not for personal use.

This form is not intended to represent a substitution to the Troop Bylaws or Annual Troop Finance Report policies and procedures. Furthermore, we understand that GSH will have access to all records pertaining to this account and the authority to close this account when in the best interest of the troop or Council. The Council will provide this Bank Account and ACH Agreement when opening or making changes to a Girl Scout account. Pertaining to ACH debits and credits, we hereby authorize GSH to initiate debit and credit entries and, if necessary, correction and adjustment entries to the troop account at the financial institution listed.

Please upload an image of a voided check for this account.

AUTHORIZED SIGNER ONE By entering the name below Authorized Signer One agrees to these terms, is a currently registered Girl Scout member, and authorized signer on the account listed above.

Street Address

City/State/Zip

Phone
*
Email
*

AUTHORIZED SIGNER TWO By entering the name below Authorized Signer Two agrees to these terms, is a currently registered Girl Scout member, and authorized signers on the account listed above.

City/State/Zip

Street Address

Phone
*
Email
*

Renewal / Transfer Submissions

Please enter the total number of RENEWALS you are submitting

Type of Request

Troop Renewal

gsZoom Request

GSH Event Registration

Please confirm the Authorized Transfer Amount ($) Total

Attach roster with full names of individuals AND their membership type (adult or girl membership) being renewed in the ACH transfer below

For Renewals: If you are not attaching your roster, enter full names of the individuals AND their membership type (adult or girl membership) being renewed with this ACH transfer.

For Programs/Events: If you are not attaching a roster, enter the full name of individuals and their membership type for each event you are registering them for: (ie: Suzy Doe – STEM Fest Girl Member, Junior Camp Girl Member, etc.). You may elect to submit the ACH to register for multiple events but you must clearly identify which events and registration type for each listed member, spaces are limited and are not guaranteed until the ACH processing has been completed. You will receive a registration confirmation email after the ACH and registration is completed.

Date

Captcha

Refresh

Thank you for submitting your information. Please contact Council through CustomerCare if you have any questions.

Girls Get STEM. Unleash Your Inner Scientist. Boost Her STEM Smarts. Fun, simple resources for families and educators. Learn More.