Service Unit Deposit Confirmation

Service Unit Deposit Confirmation Form

Service units should complete this form at the end of each product program to notify council of deposits from IRGs and/or troops into a service unit bank account. This will be the amount that council will ACH from the service unit bank account at the end of each program.
Product Program this submission is related to*

2024 Fall Program2025 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 are confirming that the above listed amounts have been received by the IRG and/or Troop, have been deposited into the Service Unit bank account and are ready for ACH withdrawal. Girl Scouts - Dakota Horizons will initate the final ACH withdrawal for the above listed IRG and/or Troops for the program based on this submission. If a change needs to be made to your submission, please reach out to finance@gsdakotahorizons.org. Thank you for your assistance is making the ACH process for these IRG and/or Troops easier. We greatly appreciate all you do to help make our Product Programs a sucess.
Should be Empty:

Service Unit Deposit Confirmation Form