Girl Scout Bank Account ACH Authorization Form
Once you have opened or made changes to an approved Girl Scout bank account, please complete the form below within 5 business days.
Each signer must submit the form below to complete the Girl Scout banking process.
The following form authorizes GSSNV to perform ACH Debit transactions.
Service Unit Number
Bank Routing Number
By initialing below, you as an approved check/bank signer authorize & agree to:
1. Maintain Girl Scout Troop/SU account using the GSSNV Council Tax ID Number.
2. Work closely with GSSNV to pay all amounts due to GSSNV in any manner agreed to by both parties.
3. Accept responsibility for depositing funds in Girl Scout Troop/SU bank accounts to cover these debts and will be personally responsible for any resulting non-sufficient funds (NSF) charges.
4. Authorizes GSSNV to repeat e-payments that fail for any reason.
Authorize by initialing here:
Send me a copy of my responses
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