2025 Troop ACH Form

Why use ACH:

Using the Automated Clearing House (ACH) method allows money owed to your troop by Council from product sales or other sources to be directly deposited into your troop account. This allows troops access to their funds in a simple and faster way. It also allows Council to retrieve funds owed by the troop (primarily from the Cookie Program), eliminating the need for troop volunteers to make deposits into multiple accounts. Funds will not be taken from troop accounts without prior notice to an account signer.

Here’s how the Direct Payment Plan works for your Troop:

You authorize Council to deposit money owed directly into your troop bank account
You authorize Council to withdraw troop cookie payments owed to Council from your troop banking account
Your deposits and withdrawals will be made automatically on the dates specified at the beginning of the program

ACH automatic payments and having this form on file are mandatory for EVERY troop that is participating in either the 2024 Fall Product Program and/or the 2025 Cookie Program.

I authorize Girl Scouts of Southern Arizona to initiate electronic credit and debit entries to our troop account for payment of goods received or sold by members of our troop during Council sponsored product programs. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.

Troop Number*

I submitted my form previously but we have a new bank account:*

YesNo

First Account Signer Email*

example@example.com

Second Account Signer Email*

example@example.com

Financial Institution*

Account Number*

Routing Number*

First Account Holder Name*

First NameLast Name

Second Account Holder Name*

First NameLast Name

Account Holder Signature (either signer)*