Online Program Credit Request Form
Please complete this form if you would like to submit Program 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. Girl Scouts River Valleys recommends the request is submitted 30 days prior to the expiration date of program credits. The original expiration date of converted credits applies to the GSUSA online code. Due to their nature, Juliette Programs converted to a GSUSA online code will have an expiration date. The current processing time in which you will receive your code is two weeks.
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 credits to be transferred to an online code:
*
Only use increments of $5. (Examples: 5, 15, 20, 100 etc.)
Type of Program Credit you are submitting:
*
Electronic Cookie Credits, Fall FUNds, or Juliette Program Credits
Paper Juliette Program Credits
Paper 2020 Cookie Credits (expire Sept. 15, 2022)
Please enter the first digit and the last 4 digits of the 19-digit Account Number
I understand I will not receive a code until my Program Credits are received by Girl Scouts River Valleys, and once credits are transferred to a code, the action cannot be undone.
*
Yes, I accept these terms.
Submit
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