Program Credits
Program Credits/Gift Card(s) can be used for annual membership fee. Please fill out this form to apply these credits to a membership.
Email address *
Membership for First Name *
Your answer
Membership for Last Name *
Your answer
Please choose which membership you are purchasing. *
Troop # *
Your answer
19-Digit Number on Program Credit/Gift Card *
Your answer
Name on Program Credit Card *
Your answer
Amount of Program Credits to be used *
Your answer
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 the membership is purchased and I will be notified with any issues/problems.
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