Electronic Payment Authorization Form
2022 Treats & Keeps Program AND 2023 Cookie Program
This form will be used to authorize your payments to GSGATL for both product programs!
This form should ONLY be completed by an authorized signer on the troop's bank account. If you are not an authorized signer on the account, please share with the appropriate individual for completion. By providing the requested information below, you as signatory on the Troop's bank account, authorize debit and credit transactions as part of the Troop's participation in the 2022 Treats & Keeps and/or the 2023 Girl Scout Cookie Program.
Sample Check Image
By signing below, you agree that you, as the Troop signatory, have read and understand the Terms of Agreement for electronic payments initiated by Girl Scouts of Greater Atlanta and have provided accurate and complete account information.
Before you submit, verify the banking information you have provided.