EmailMe Form - Payment Adjustment Form

Service Unit: *

Please contact your Service Unit Cookie Manager if you do not know your new Service Unit code.

Troop #: *

Name: *

First Last

Email *

Confirm

Phone: *

### - ### - ####

Amount owed found on the Troop Balance Summary report: *

see page 35 of Troop Plan Book

Amount that can be taken from troop account beginning Tuesday, March 19, 2026: *

Please note: payment may be reduced, but troop should pay at least 50% of total amount due to Council.

Reason for payment adjustment: *

Troop has not collected funds from parent(s) and has submitted a delinquency report form

Troop has large amount of unsold products

Other

If other, please explain:

If a payment plan is requested: *

Payment will be deducted via ACH withdrawal from the Troop's bank account

Payment is due in full by Wednesday, April 1, 2026. Remaining balance will be deducted via ACH from the Troop's bank account. Any troop whose ACH payment is declined due to non-sufficient funds (NSF) will be responsible for any related fees. Troops missing payment plan deadlines are subject to a $15 per week fine and may be sent to collections.

Payment Plan -List date(s) & amount(s) to be paid. First payment of Plan due by Tuesday, March 19, 2026. Final payment must be made by Wednesday, April 1, 2026 or $15 weekly fee will be accessed. *