This form is to be used for Cookie Dough, OC Bucks and Juliette Dollars reimbursement by Troops, Service Units, and Parents of Girl Scouts .
This form should be completed by a Troop/Group Leader, Troop/Group Treasurer or Parent. Checks will be sent after the Girl Scout has attended the event.
Please see FAQs at www.gscookiesetc.org for more info.
** Cookie Dough submitted towards Camp Scherman Summer Resident will be applied directly to the order instead of the amount being reimbursed. **
**If using towards a Day Camp, the day camp director will need to verify that your Girl Scout attended camp**
Make Check Payable To:
(Service Unit, Troop #, or parent guardian name ):
Mail check, Care of
(Service Unit, Troop #, or parent guardian ):
City and State:
For events, attach a copy of the event flyer and registration receipt.
For Troop Travel, you MUST submit a copy of the Approved Travel Itinerary:
Attach a copy of your OC Bucks, Cookie Dough or Juliette Dollars - side with serial number only:
Please Select Event Type
Council Sponsored Event
Service Unit Sponsored Event
Camp Scherman Summer Resident Camp
Camp Scherman Weekend Camp
Community Day Camp
Council Service Fee
Girl Scout Lifetime Membership
Gold Award Expense
Silver Award Expense (Juliette Dollars only)
Fund Her Success Donation
Please Select Card Type
Please enter name of girl(s) and amount to redeem:
Total Amount to Reimburse: