TROOP REFUND FORM PRODUCT PROGRAM ELECTRONIC REIMBURSEMENT
Troop refund policy: (Only electronic reimbursement is available.)
Program (check one)
Cookie Program
Fall Product Program
Service Unit
Troop#
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Troop Leader Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone
Format: (000) 000-0000.
Troop Refund Calculation
Amount due council
Less amount paid council
Refund due troop
The following items must be attached:
Troop Balance Summary or Troop Summary
Voided Check
TROOP BANK NAME
TROOP ROUTING NUMBER (9 digits)
TROOP BANK ACCOUNT NUMBER
Form Completed By
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Run the Troop Balance Summary from Smart Cookies or Troop Summary from M2 to upload here.
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Girl Scouts of Western New York, Buffalo Service Center, 4433 Genesee Street, Suite 101, Buffalo, NY 14225
Form #320.99.TRF - Revised 4.2026
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