2022-2023 Juliette Product Sales Financial Responsibility Form

2022 - 2023 Juliette Product Program Financial Responsibility Form

I give permission for my Girl Scout:

Girl First Name:*

Girl Last Name*

Troop #:

To participate in the following Girl Scouts of North East Ohio Product Program:

Program:*

Both MSP and CP2022 Magazine & Snack Program (MSP) September-November2023 Cookie Program (CP) January-April

Caregiver First Name*

Caregiver Last Name*

Phone #:*

Email:*

Address (Sales material will be mailed to this address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Place of Employment:*

Work Phone #:*

Driver's License or State ID #:*

State ID was Issued in:*

Caregiver Date of Birth:*

Date

MSP Snack items and rewards for both Programs will be available in your neighborhood Service Unit for pick up.

For the Cookie Program, the office that is most convenient for me to pick up cookie orders at is*

Macedonia Corporate Office One Girl Scout Way Macedonia, OH 44056Lorain Service Center 6111 S Broadway Avenue Lorain, OH 44053North Canton Service Center 1010 Applegrove Street NW, North Canton, OH 44720Youngstown Service Center 8580 South Avenue Youngstown, OH 44514

Juliette Participation Policies:

-All monies earned is the property of Girl Scouts of North East Ohio and is not to be retained by any one individual.

-Girl Scouts of North East Ohio will take necessary steps to recover all outstanding debts.

-I understand that product ordered may not be returned.

-I will be sure my Girl Scout follows appropriate safety guidelines.

-I agree to accept financial responsibility for all orders and monies for which my Girl Scout is accountable, and will observe and adhere to all procedures and deadlines imposed.

I understand that my signature verifies that I have read and acknowledge the above policies:

Signature of Parent/Guardian:*

Clear