Bank Information and Agreement Form

The Bank Information and Agreement Form (BIA) is an annual form that must be submitted 1) in order to participate in the Fall Product and Cookie Programs, 2) when new troop accounts are first opened, and 3) when existing troops change banks and/or signers on a troop account.

The BIA should be submitted by the Troop Treasurer or other member of the troop leadership team.

As part of our Product Program, we will periodically withdraw funds from your troop account to pay product money owed to the council. This transaction is called an ACH transfer. The troop treasurer will receive an email detailing an amount and date of the transfer prior to an ACH. Please reach out to frontdesk@gsnim.org, 1-800-283-4812 with any questions.

Please note that the troop may see a minimal charge on their troop account when the ACH process is tested. This charge will be returned as part of the process. Any ACH fees are the responsibility of the council and not the troop.

Troop Finance Status*

We're a new troop and we are submitting our account info.We're an existing troop, and we are submitting our account info as part of our annual troop finance and Product Program record-keeping and reports.We have changed our bank account info and we are submitting an update.

You, as an authorized signer on the account*

First NameLast Name

Email*

example@example.com

Service Unit Number, if known

Number only, no "SU' prefix

Troop Number*

Troop Role*

Bank*

Please provide the troop bank account number and routing number. It's important these numbers are correct for any ACH withdrawals and deposits. Incorrect numbers cannot be processed, causing delays in receiving funds. Please double check your numbers.

Reach out to your bank if you are unsure of the troop's routing or account information.

Bank Account Number*

Routing Number*

If you are submitting this form, you are an authorized signer on the troop bank account. Each account must have a minimum of 2, unrelated adult signers. Who is the other signer(s) on the account?

2nd Authorized Signer*

First NameLast Name

Please list any additional signers below if the troop has more than 2 signers.

Participating in the Fall Product and Cookie Programs may result in an overpayment to council causing a refund owed to the troop.

If the troop is new - in its 1st or 2nd year - Fall Product overpayments of more than $10 may be direct deposited in the troop account or added as a payment to their Cookie Program balance.

Experienced troops - troops that are 3 or more years old - will have their Fall Product refund added as a payment to their Cookie Program balance.

A Cookie Program overpayment of more than $10 will be direct deposited to the troop account after the program is over and all payments have been applied. Any overpayment of $10 or less will be forfeited. Cookies can be purchased by the troop to alleviate the overpayment.

We are a new troop and would prefer our Fall Product overpayment of over $10:*

Direct deposited into our troop accountApplied as a payment towards our Cookie Program balanceWe are NOT a new troop

Troop acknowledges and agrees to the following:

GSNI-M will withdraw funds from the troop account listed on this form according to the guidelines of the Fall Product and Cookie Programs.

Troop is responsible for ensuring sufficient funds are in the account to cover the withdrawals, and will be responsible for any resulting non-sufficient funds (NSF) charge.

Troop understands that they will not receive cookies without first submitting this form.

Troop agrees to follow troop finance and banking procedures as outlined in Volunteer Essentials.

By completing this form, you are identifying as an authorized signer on the troop account listed on this form.*

I am an authorized signer on the troop account listed on this form.

I understand that checking this box and completing this form constitutes a legal signature confirming that I acknowledge and agree to the Terms of Acceptance above and authorize ACH withdrawals and deposits from/to the account listed on this form.*

I have read and understand the Terms of Acceptance and agree to abide by all requirements.

Use your mouse or finger to draw your signature below.*

Bank Information and Agreement Form

Product Program Acknowledgements

TERMS OF ACCEPTANCE