Patch Programs v2

Patch Programs Order Form
Complete the form and submit payment to order available patches from our Patch Programs. Patch program requirements will be sent to you via email.

Please allow up to 30 days for delivery of patches.
Select the option that applies:
Troop Number
Grade Level for 2025-2026 (select all that apply)
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Hop-ortunity Knocks
Hop-ortunity Knocks Calculation
Spooky STEM
Spooky STEM Calculation
Hearts in Action
AI for Good
Start Small, Change Everything
Weather Wonders
Stylish Artist
Super You Patch
Smile Squad Patch
Girl Scoutsgiving
FARE (Food Allergy)
Promo Code
Retired Patch Quantity
Specify the patch(es) you are purchasing. If multiple patches, please specify quantity of each style.
Retired Patch Total
Promo code applied!
Promo Savings
Form Calculation
Total
Patches

prevnext( X )
USDPatch Programs

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Patch Programs Order Form