ACH 2017-2018 Product Sales
October 13 (Fri) 2017 - Deadline to turn in ACH to participate in Fall Sale
November 13 (Mon) 2017 - Deadline to turn in ACH to participate in Cookie Sale
This form authorizes ACH debit transactions with Troop accounts regarding product sales
NEW troops and troops that have changed banking institutions/account numbers must submit ONE ACH form for the 2017-2018 season
You do not need to fill out this form if you have not changed banking information since the 2017 Cookie Season
Must email or attach a screenshot of a troop check or a bank account statement (with full account number) after hitting submit
Service Unit Name
Chisholm Trl. (Lockhart)
Communities in School
Killeen Sister Cities
Lost Pines (Bastrop and Smithville)
Marlin, Rosebud, Lott, Chilton
Melon Patch (Luling)
Red Poppy (Georgetown)
San Saba County
Texas Skies (Taylor/Hutto)
Texas Star (Buda/Kyle)
Troop acknowledges and agrees
you must read and check all boxes to proceed
GSCTX will debit the troop account on this form according to the instructions provided during training for the 2017 Fall Product Program and 2018 Cookie Program
Troop is responsible to deposit sufficient funds to cover these debits, and will be responsible for any resulting non-sufficient funds (NSF) charges.
Troop expressly authorizes GSCTX to repeat debits that fail for any reason.
Troop agrees to work closely with GSCTX to pay all amounts due to Council in any manner agreed to by both parties.
Troop understands that they may not participate in Fall Product Program or Cookie Program until ACH debit Authorization is received by Council.
Troop agrees to follow procedures as listed int he GSCTX 2017-18 Troop Banking Procedures.
Troop acknowledges that they have submitted the Returned Item Release Form to the troop bank (previously or this season if they are a new troop without one on file).
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
Please type first and last name
Is your information EXACTLY the same as last year?
no change in co-signor, contact information, account number, etc.
person who is a co-signor on the account who can be contacted about the account
Troop Leader and/or Troop Cookie Coordinator
Service Unit Cookie Manager
Service Unit Treasurer and/or Service Unit Director
GSCTX TroopXXXX (enter troop number)
Include all digits (for UFCU this includes the 1800900 at the start). Please include leading zeros.
Must be 9 digits
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service