Online Cookie Credit Redemption Form

Online Cookie Credit Request Form

Please complete this form if you would like to submit Cookie Credits to be transferred to a code used for making merchandise purchases in the Girl Scouts Online Shop. Please note that this code cannot be used toward purchases in-person at Girl Scouts River Valleys Shops and cannot be used for camp, event or membership purchases. The current processing time in which you will receive your code is two weeks.
Please note: This is only for Cookie Credits. You will not be able to submit Juliette Program Credits or Fall FUNds.
Parent/Guardian Name *

First Name Last Name
Girl Name *

First Name Last Name
Email *
example@example.com
Troop Number (Optional)
Enter the troop number or "Juliette"
Phone Number *

Area Code Phone Number
Amount of cookie credits to be transferred to an online code: *
Only use increments of $5. (Examples: 5, 15, 20, 100 etc.)
Please select which year the cookie credits you want transferred were issued? *
You can transfer both 2019 and 2020 cookie credits to online codes at the same time. You will receive a different code for each year.
I understand this is for Cookie Credits only and not Juliette Program Credits or Fall FUNds. *

Yes, I accept these terms.
I understand I will not receive a code until my Cookie Credits are received by Girl Scouts River Valleys, and once Cookie Credits are transferred to a code, the action cannot be undone. *

Yes, I accept these terms.
Should be Empty:

Online Cookie Credit Request Form