Membership and Service Pins

Membership and Service Pins

Volunteer Years of Service Pins and Membership Numeral Pins recognize adult members and volunteers who have been involved in Girl Scouts for at least five years.
Pins are awarded at five-year intervals. 5-15 Years of Service pins and 5-20 Years of Membership pins can be purchased in River Valleys' shops. River Valleys provides pins for 20+ Years of Service pins and 25+ Years of Membership pins, free of charge. Use the form below to request these pins. Please allow 2-3 weeks for requests to be processed.
Name*

First NameLast Name
Email*
example@example.com
Who are you requesting pin(s) for?*

MyselfAnother Member or Volunteer
Recipient Name: Who you are requesting pin(s) for.*

First NameLast Name
Recipient Email*
example@example.com
Select the total number of years the recipient has been a member of Girl Scouts (combine years as a Girl Scout and as an adult member).
Select the total number of years the recipient has been an adult volunteer for Girl Scouts.
Do you want the pins sent to you or directly to the recipients?

Send pins to me, so I can distribute them.Send pins directly to recipients.
How would you like to receive the pin(s)? Note: Please view shop hours prior to selecting a pick-up location.*

Pick-up at Saint Paul Service CenterPick-up at Brooklyn Center Service CenterPick-up at Rochester ShopPick-up at Mankato Satellite ShopMailed
Please provide your mailing address, even if you are requesting pins for another person.*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Recipient Name*

First NameLast Name
Recipient Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to add another recipient?*

YesNo
Recipient Name*

First NameLast Name
Recipient Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to add another recipient?*

YesNo
Recipient Name*

First NameLast Name
Recipient Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to add another recipient?*

YesNo
Recipient Name*

First NameLast Name
Recipient Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to add another recipient?*

YesNo
If you need to add more than four recipients, please upload a document list of their Name and Mailing Address(es).*

Max. file size: 50 MB
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