EmailMe Form - Gold/Silver Award Ceremony Sponsorship Form

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

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

Email

Please select

I/We would like to honor a Girl Scout Gold Awardee with a gift of $250

I/We would like to sponsor the Girl Scout Gold and Silver Award Ceremony with a gift of $100

Honoree information

Please select a Gold Awardee on my/our behalf

I/We would like to honor