• Request for Membership Numeral Pin

    (5, 10, 15 years)

  • The Membership Numeral Pin recognizes the total years of registered membership in Girl Scouts at five-year intervals. Years as a girl member plus years as an adult member are combined and counted toward this recognition. This request is for membership years totaling 5, 10, or 15-years.

    *Membership Numeral Pin is provided by the local Service Unit.

  •  -  - Pick a Date

  • Candidate's Information:

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  • Requestor's Information:


  • Thank you for your nomination and all you do for Girl Scouting!

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