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Product Program Council Credit Conversion Form
This form may be used by service units, troops, or parents/girls to request conversion of product program (Fall or Cookie) reward card funds to be used for approved Girl Scout activities. Learn more about
ways you can use your reward cards.
Please allow 6 to 8 weeks for processing.
I Would Like to Use Some or All of My Product Program Reward Card For (Select All That Apply):
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Reimbursement for Higher Awards (Bronze Award, Silver Award, Gold Award), or Reward Experience Travel
Disburse to my troop for troop activities, travel, etc.
Disburse to my troop for High Awards (Bronze, Silver, Gold)
Travel (Council Organized Trips and GSUSA Destinations)
Reload Council Credit due to refund from a cancelled event/trip
Programming with another Girl Scout Council
Membership Renewal
GSUSA Online Retail Shop Gift Card Conversion
For Volunteer Run Camps, please have the camp admin use
this form
For Service Unit Events, please have the SU Event coordinator use
this form
Reimbursement
First and Last Name of Recipient:
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Recipient's Address:
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Address line 2:
City:
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State:
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code:
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Receipts/Invoices to Reimburse
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Disburse to my Troop for troop activities, travel, etc
Please confirm the following statements:
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I understand that Council Credit, once disbursed to my troop, cannot be reversed and reverted back to Council Credit.
I have made an agreement with my troop about how the Council Credit funds will be utilized.
Troop Number:
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Disburse to my Troop for High Awards
Please confirm the following statements:
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I understand that Council Credit, once disbursed to my troop, cannot be reversed and reverted back to Council Credit
I have made an agreement with my troop about how the Council Credit funds will be exclusively reserved for my project
I certify that my award project has the appropriate approvals from troop leaders and/or council in order to proceed.
Is this disbursement for a Gold Award Project
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Yes
No
I have submitted my proposal via GoGold Online and it has been marked approved.
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Yes
Troop Number:
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Travel (Council or Girl Scouts USA Trips)
Which Trip?
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2024 EF Tour - Europe's Mediterranean Coast
2024 On the Road Again
GSUSA Destination Trip
Reload Council Credit
Who will be providing the credit/refund?
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What amount should we expect to be refunded in USD ($)? (If you aren't sure, you may leave this blank)
Programming with another Girl Scout Council
Other Girl Scout Council:
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Alaska
Arizona Cactus-Pine
Black Diamond
California's Central Coast
Caribe
Carolinas Peaks to Piedmont
Central & Southern New Jersey
Central and Western Massachusetts
Central California South
Central Illinois
Central Indiana
Central Maryland
Central Texas
Chesapeake Bay
Citrus
Colonial Coast
Colorado
Commonwealth
Connecticut
Dakota Horizons
Desert Southwest
Diamonds of Ark. Okla. & Texas
Eastern Iowa and West Illinois
Eastern Massachusetts
Eastern Missouri
Eastern Oklahoma
Eastern Pennsylvania
Eastern South Carolina
Eastern Washington and North Idaho
Farthest North
Florida Panhandle
Gateway
Greater Atlanta
Greater Chicago and NW Indiana
Greater Iowa
Greater Los Angeles
Greater Mississippi
Greater New York
Greater South Texas
Green and White Mountains
Gulfcoast
Hawaii
Heart of Central California
Heart of Michigan
Heart of New Jersey
Heart of Pennsylvania
Heart of the Hudson
Heart of the South
Historic Georgia
Hornets' Nest
Jersey Shore
Kansas Heartland
Kentuckiana
Kentucky's Wilderness Road
Louisiana East
Louisiana-Pines to the Gulf
Maine
Manitou
Michigan Shore to Shore
Middle Tennessee
Minnesota and Wisconsin Lakes and Pines
Minnesota and Wisconsin River Valleys
Missouri Heartland
Montana and Wyoming
Nassau County
Nation's Capital
NE Kansas and NW Missouri
New Mexico Trails
North Carolina Coastal Pines
Northeast Ohio
North-Central Alabama
Northeast Texas
Northeastern New York
Northern Illinois
Northern Indiana-Michiana
Northern New Jersey
Northwestern Great Lakes
NYPENN Pathways
Ohio's Heartland
Orange County
Scouting in Washington
San Diego
San Gorgonio
San Jacinto
South Carolina - Mountains to Midlands
Sierra Nevada
Silver Sage
Southeast Florida
Southeastern Michigan
Southeastern New England
Southern Alabama
Southern Appalachians
Southern Arizona
Southern Illinois
Southern Nevada
Southwest Indiana
Southwest Texas
Spirit of Nebraska
Suffolk County
Texas Oklahoma Plains
Tropical Florida
USAGSO (American Scouting overseas)
Utah
Virginia Skyline
West Central Florida
Western New York
Western Ohio
Western Oklahoma
Western Pennsylvania
Western Washington
Wisconsin - Badgerland
Wisconsin Southeast
Program/Camp:
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Membership Renewal
You can use your council credit to:
Renew up to 4 Girl Scout(s) youth memberships and 2 adult(s) memberships in total.
Graduating Ambassadors can also purchase a yearly adult membership for $25 for themselves.
Graduating Ambassadors interested in purchasing a Young Alum Lifetime membership at a discounted rate of 50%.
Purchase new memberships for another sibling or adult in your family.
Memberships to renew
First Name
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Last Name
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Adult, Youth or Young Alum Lifetime Membership?
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Adult
Youth
Young Alum Lifetime Membership
Add another
First Name
*
Last Name
*
Adult, Youth or Young Alum Lifetime Membership?
*
Adult
Youth
Young Alum Lifetime Membership
Add another
First Name
*
Last Name
*
Adult, Youth or Young Alum Lifetime Membership?
*
Adult
Youth
Young Alum Lifetime Membership
Add another
First Name
*
Last Name
*
Adult, Youth or Young Alum Lifetime Membership?
*
Adult
Youth
Young Alum Lifetime Membership
Add another
First Name
*
Last Name
*
Adult, Youth or Young Alum Lifetime Membership?
*
Adult
Youth
Young Alum Lifetime Membership
Add another
First Name
*
Last Name
*
Adult, Youth or Young Alum Lifetime Membership?
*
Adult
Youth
Young Alum Lifetime Membership
GSUSA Online Retail Shop Gift Card Conversion
Council Credit earned through participation in our Fall Take Action Program and/or the Cookie Program can be used to purchase Girl Scout swag for you or an amazing adult supporting you - as well as powering all your unique Girl Scout experiences! There is no fee to convert Council Credit funds to an electronic gift card redeemable for any merchandise available on
girlscoutshop.com
directly supports GSNorCal
How much Council Credit (in $) would you like to redeem for a GSUSA Online Retail Shop Gift Card?
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Girl Scouting builds girls of courage, confidence and character that make the world a better place. 2014 Girl Scouts of Northern California