Honor and Memorial

Tribute gifts allow you to recognize someone that has made an impact on your life while supporting Girl Scouts . Upon receipt of a tribute gift, a thank you card will be sent to the honoree informing them that a gift has been received in their honor. For memorial gifts, a card will be sent to the honoree’s family. You will also receive an acknowledgement letter.

Submit the form below with the appropriate fields, including Tribute Information at the bottom of the form, and let Girl Scouts know if your employer will match your financial gift.

Donation Levels 
  Level
    $1,000.00 
    $500.00 
    $325.00 
    $125.00 
    $50.00 
    Other 
* required information
Donation
Select Gift Frequency
I would like to make a one-time gift for the following amount:
:* $
I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Information
First Name:*
Middle Initial:
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
TroopNumber:
Company Name:
Job Title:
Association (Select All that Apply): Parent
Current Volunteer
Girl Alumnae
Friend
Member(Girl)
Member(Adult)
Staff
Troop
Other
Payment Information
:*
:*
:*   Explain
Credit Card Type:*
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:
:*
:
:*
State:
:
:*
Country:*
Matching Gift Information
Will this donation be potentially matched?
If you know the following information regarding the matching gift, please complete.
Company Name:
Matching Gift Amount:$
Tribute Information
Tribute Type:*
First Name:*
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Type the characters you see in the picture below:*
By clicking Submit,
your credit card will be processed




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