Service Unit Deposit Confirmation

Service Unit Deposit Confirmation Form

Please complete this form at the end of each product program to let us know about any deposits made by IRGs and/or troops into your service unit bank account. The total amount reported will be what the council ACHs from your service unit account at the end of the program.
Product Program this submission is related to*

2025 Fall Program2026 Cookie Program
Service Unit *
Name of person submitting form*

First NameLast Name
Email of person submitting form*
example@example.com
IRG / Troop IRG / Troop* Total amount received during programAmount received*
IRG / Troop IRG / Troop Total amount received during programAmount received
IRG / Troop IRG / Troop Total amount received during programAmount received
IRG / Troop IRG / Troop Total amount received during programAmount received
IRG / Troop IRG / Troop Total amount received during programAmount received
By submitting this form, you’re confirming that the amounts listed above have been received from the IRG and/or troop, deposited into the service unit bank account, and are ready for ACH withdrawal. Girl Scouts – Dakota Horizons will process the final ACH withdrawal for the listed IRG(s) and/or troop(s) based on the information provided.

If you need to make any changes after submitting, please contact us at finance@gsdakotahorizons.org.

Thank you for your help in making the ACH process smooth for these IRGs and troops. We truly appreciate all that you do to support our Product Programs and help make them a success!
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Service Unit Deposit Confirmation Form