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Cookie Troop Manual - Girl Scouts of Central and Western ...

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P a g e | 34<br />

Depository (Bank) Name ________________________________________________________________<br />

Transit ABA (Routing #) __________________________ Account # _____________________________<br />

Name <strong>of</strong> Account _______________________________________________________________________<br />

This authority s to remain in full force <strong>and</strong> in effect throughout the 2013 <strong>Cookie</strong> Sales or until GSCWM has received<br />

written notification from the troop <strong>of</strong> it’s termination in such time <strong>and</strong> in such manner as to afford GSCWM <strong>and</strong> the<br />

DEPOSITORY a reasonable opportunity to act on it.<br />

I underst<strong>and</strong> that it is the troop’s responsibility to notify GSCWM if funds will not be available on the specified date,<br />

<strong>and</strong> that if we do not notify GSCWM, it may result in fees being assessed to the troop account due to insufficient<br />

funds.<br />

<strong>Troop</strong> # _________________________ Service Unit __________________ Phone __________________<br />

<strong>Troop</strong> Leader or Bank Account Contact Volunteer __________________________________________<br />

Email ___________________________________________________________________________________<br />

Signature _____________________________________________ Date _____________________________<br />

Signature _____________________________________________ Date _____________________________<br />

(2 Signatures required)<br />

Please send form <strong>and</strong> a copy <strong>of</strong> voided check to: GSCWM, Aria Ingraham, Finance Department,<br />

81 Gold Star Blvd Worcester, MA 01606<br />

Fax 508-852-7674 E-Mail: aingraham@gscwm.org<br />

notes

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