Home Page ~ Make A Difference ~ How To Make A Difference ~ ACH Authorization Form
Advertise With Girl Scouts
Becoming a Community Partner
Community Partner Application Form
Gifts in Kind
How to Make a Difference
Memorials Tributes & Planned Gifts
United Way and United Funds Organization
I (we, if joint account) hereby authorize Girl Scouts of Manitou Council to initiate debit entries to my (our) checking/savings account at the financial institution indicated below.
The amount of the donation will be $
The frequency of the withdrawal of this amount will be:
One Time Monthly Quarterly Annually
Name of Financial Institution:
Type of Account: Checking Savings
This authorization will remain in force until Girl Scouts of Manitou Council receives written notification from me (or either of us) of its termination. I (we) may revoke this authorization at any time.
(The following serves as a signatures):
Girl Scouts For Girls
Girl Scout Research Institute
© 2013 Girl Scouts of Manitou Council. All Rights Reserved.
Internet Safety Pledge
Our Commitment to Diversity
Girl Scouts Advocacy Network