Expected Monetary Donation Form

Designated Troop/Service Unit Gifts

The purpose of this form is to notify the Fund Development Department of monetary donations or matching gifts you are expecting to receive for your troop/service unit/camp. This will help us properly process the donation and submit a check request to redirect it to the troop/service unit/camp in a timely manner.

We prefer you use this online form to submit your documentation; however, you may print the Expected Monetary Donation Form (PDF version) and complete it by hand. Return completed form to the Fund Development Department at the address at the bottom of the PDF.

Donation Information

Donation Amount $: *

Donation Date (mm/dd/yyyy): * +

Donor or Organization Contact Name: *

Organization Name:

Donation Type:

Personal Check

Business Check

EFT (Electronic Fund Transfer)

Unknown

Designated to: *

Troop

Camp

Other

Troop #: *

Camp (name of camp): *

Service Unit: *

Other: *

Matching Gift Information

Is there a Matching Gift associated with this donation? *

Yes

Date Requested: +

Matching Gift Company Name: *

Expected Matching Gift Amount: *

Total Amount of Expected Donations --> Donation + Matching Gift = $:

0.00

Check Request Detail

Send check to (choose one):

Troop Leader

Troop Treasurer

Troop/Service Unit

Attention Troop #:

c/o Contact Name: *

Contact Address: *

Is the donation amount $500 or more? *

Yes

A Budget or Narrative is required for donations of $500 or more. A narrative is an explanation of how this donation is to be used. (e.g. a rafting trip for 10 girls with rentals costs of $50/girl): *

Notes/Comments:

Name of person submitting form: *

Preferred phone:

Email: *

Confirm: *

Electronic Signature

Electronic Signature By typing my name on this form, I am entering my "electronic signature" (as defined in The California Uniform Electronic Transactions Act 1633.1 - 1633.17) and certifying that I have read, fully understand and accept all terms of this agreement.

Please type your full name here: *

Published November 10th, 2020

* Please Note: Once you submit this form, you'll have the option to print the form contents on the following page.

Girl Scouting builds girls of courage, confidence and character that make the world a better place. 2014 Girl Scouts of Northern California