ACH Form
In order for the form to be accepted a picture of your troop check must be uploaded. Any questions contact ccollins@gssc.us
Date
-
Month
-
Day
Year
Date
Service Unit #
*
Troop #
*
Troop Statue
*
Brand New Troop
Re-registering Troop
Email
*
example@example.com
Troop acknowledges and agrees to:
*
Work closely with GSSC to pay all amounts due to GSSC in any manner agreed to by both parties.
Troop understands that notice of cancellation due to changing authorized signers or changing financial institutions requires a new ACH form on file immediately.
Allowing GSSC to withdraw monies due for Product Sales Campaigns on designated dates for predetermined amounts.
Allowing GSSC to withdraw monies that are in arrears for any Campaign without notice.
Name
*
First Name
Last Name
Signature
*
Bank Name
*
Copy of voided check
*
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