ACH Agreement

ACH Agreement

Select your Service Unit

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Voided-Check
Please upload an image of a voided check for this account.
Please upload an image of a voided check for this account.
No file Chosen
    The Authorized Signer named here agrees to these terms, is a currently registered Girl Scout member, and authorized signer on the account listed above. 0/0
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    The Authorized Signer named here agrees to these terms, is a currently registered Girl Scout member, and authorized signer on the account listed above. 0/0
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    Enter Names and Level (girl or adult) here if you are NOT uploading your roster for this request 0/0
    Roster
    Attach roster with full names of individuals AND their membership type (adult or girl membership) for this ACH transfer
    Attach roster with full names of individuals AND their membership type (adult or girl membership) for this ACH transfer
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