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): *

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: *

Recipient's Address: *

Address line 2:

City: *

State: *

Zip Code: *

Receipts/Invoices to Reimburse *

Disburse to my Troop for troop activities, travel, etc

Please confirm the following statements: *

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: *

Disburse to my Troop for High Awards

Please confirm the following statements: *

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 *

Yes

No

I have submitted my proposal via GoGold Online and it has been marked approved. *

Yes

Troop Number: *

Travel (Council or Girl Scouts USA Trips)

Which Trip? *

Reload Council Credit

Who will be providing the credit/refund? *

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: *

Program/Camp: *

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 *

Last Name *