• Adult Recognition Order Form

  • This order form is for ADULT RECOGNITION only.

    Please do not order Daisy-Ambassador awards using this form.

  • Date awards are needed:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Delivery:*

  • Section 1

    Order amount of awards needed

  • Note: The 5 years of service pin and 5 & 10 year numeral guards are paid for by the service unit and will be billed in the council shops. Unused pins may be returned to the council shops within 30 days of purchase.

  • YEARS OF VOLUNTEER SERVICE:

  • Enter total number of each YEARS OF SERVICE pin needed (5 year through 30 year):
    Rows
  • Enter total number of each YEARS OF SERVICE pin needed (35 year through 60 year):
    Rows

  • NUMERAL GUARDS - For each adult, total the number of years as a Girl Scout Daisy-Ambassador, plus the amount of years as a Girl Scout Adult:

  • Enter total number of each NUMERAL GUARD pin needed (5 year through 45 year):
    Rows
  • Enter total number of each NUMERAL GUARD pin needed (50 year through 85 year):
    Rows

  • Additional Insignia: Below is a list of additional adult insignia that can be placed with your recognitions order. Choose the amount needed using the drop down menu.

  • Section 2

    Award recipient information (Years of Volunteer Service and Numeral Guard)

  • Please enter the name and town of each recipient (even if you don't need the pin) in the space provided. Then choose the "year" of the service pin and/or year of the numeral guard awarded.

    Note: This form contains enough space for 20 entries. Please create and submit another form if you have more recipients.

     

    Once entries have been completed, choose ENTER at the bottom of this form.

  • Should be Empty: