Girl Scouts of Connecticut 2021 - 2022
Electronic Payment (ACH) Authorization Form
This form should be completed by an authorized signer on the troop's account.
By providing the requested information below, you authorize GSOFCT to debit your troop's bank account for the total amount due per the terms of agreement. This banking information will be used to initiate payments for all of the 2021-2022 Product Sales Programs. In the event that the troop is due a credit, GSOFCT will use the banking information provided to credit/return any monies due.
* Fields are required for submission.