Program Credit for Membership Purchase
Program Credits/Gift Card(s) can be used to purchase memberships.
Email address *
Girl First Name *
Girl Last Name *
Troop # *
19-Digit Number on Program Credit/Gift Card *
Name on Program Credit Card *
Amount of Program Credits to be used *
Please choose which membership you are purchasing *
Parent/Girl Agreement
By clicking submit on this form I authorize Girl Scouts of Southern Alabama to deduct the amount indicated above from the Program Credit/Gift Card listed. I understand that the balance of the card will be checked before any transfers will be done and I will be notified with any issues/problems.
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