Form B

Form B
Girl Scouts Dakota Horizons

Items for the Board of Director’s consideration for the Annual Meeting of the Council
District*

NortheastNorthwestSoutheastSouthwest
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Statement of Item for Consideration*
Reasons*
Position in Girl Scouting*
Letters of support or other documentation may sent by June 30 to:

Girl Scouts-Dakota Horizons
Attn: Jackie Stettnichs
1101 S Marion Road
Sioux Falls, SD 57106
or jstettnichs@gsdakotahorizons.org
Subject: Consideration for Annual Meeting
Should be Empty:

Girl Scouts Dakota Horizons