GSLPG Pride Shop Order Form
The retail services team will contact you to process your payment. Do not send credit card information via email. Please allow up to 2-4 Business days from receipt of your order for processing.
List Items Here
Item Number
Description
Size
Quantity
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Girl Scout Name
*
First Name
Last Name
Troop Number
*
Parent/Guardian Name
*
First Name
Last Name
Email
example@example.com
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Pick Up In Lafayette Or Ship?
*
Lafayette, LA
Shipped (shipping cost will be added)
Do you want to use Cookie Dough or Juliette Funds?
Cookie Dough
Juliette Funds (for IRG'S Only)
Submit
Should be Empty: