Registrar Request for Program Credits Use

Registrar Request for Program Credits Use
SU Number*
Event Name*
Make Payable To*
Camp name or SU #
Select One*
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Girl Scout Name*

First NameLast Name
Is the Girl Scout using the 2025 Rollover Top Cookie Seller discount? (50% off one GSWW camp session)*

NoYes
Amount covered by the 2025 50% discount; council will deposit this into the camp account on behalf of the Girl Scout. Council will reach out if the discount has already been redeemed.*
Is the Girl Scout using a 2026 Top Cookie Seller discount? (50% off one GSWW camp session)*

NoYes
Amount covered by the 2026 50% discount; council will deposit this into the camp account on behalf of the Girl Scout. Council will reach out if the discount has already been redeemed.*
Is the Girl Scout using Program Credits to pay part or all of the remaining balance?*

NoYes

Program Credit Submission
Before entering Program Credits virtual card information below, check with the caregiver of the Girl Scout to ensure:

- Card number begins with a 4

- Amount of available Program Credits is greater than or equal to amount requested
Program Credits Amount*

prevnext( X )
USDRegistrar Request for Program Credits

Payment Methods

Program Credit Submission