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Donations

Other Amount:

Donation Category:*

I would like my donation to recur*:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

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Please confirm recurring donation:

This is a joint gift from myself and:

I am making this donation on behalf of Troop or Service Unit (if donor is different than cardholder name):

I would like to remain anonymous:

Yes

This donation is in honor of:

(or) This donation is in memory of:

Send Honorary/Memorial Acknowledgment to:

Comments & Other Instructions:

Are you a currently registered Girl Scout member?

Yes

Are you a Girl Scout Alumna?

Yes

Are you a Lifetime Member?

Yes

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* If you select "I would like my donation to recur", you will be registering to make automatic credit card donations at intervals of your choice. If you choose an initial amount with your recurring gift, that initial amount will be charged today. For example, if you choose to make an initial donation of $10 with a recurring monthly donation of $10.00, you will be charged $10 today with your next donation of $10.00 automatically charged to your account every month until the end date of your choice.

Questions or Comments? Please contact us by phone at
(510) 562-8470 ext. 1604 or email helpdesk-funddevelop@girlscoutsnorcal.org

© 2010 Girl Scouts of Northern California. All rights reserved. | www.GirlScoutsNorCal.org
Gifts are tax-deductible to the extent allowed by law. Please consult your tax advisor as individual situations vary.

Donations

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