Troop/service Unit Donation Form printable pdf download

Troop/Service Unit Donation Form

Please fill out this form for any donation of $250 or more that will be mailed directly to Girl Scouts of

Central Indiana or requires an official receipt for tax purposes.

v This form is only used if the company is making the check directly payable to GSCI.

v If the troop is receiving the funds directly this form does not need to be completed and returned to

council.

v This form should be submitted only when confirmation is received that you were awarded money

from either an individual or another organization such as Kohls.

v Allow 4-6 weeks for a check to be issued to your troop/service unit after we receive this form.

v Turn this form into your service unit manager or membership development manger for approval.

v Then, return this form to:

Girl Scouts of Central Indiana, Inc., Attn: Diana Keely

2611 Waterfront Parkway East Drive

Indianapolis, IN 46214

317.924.6856/ 877.474.2248 ext. 6856, f: 317.931.3346

Email:

Section one - contact information

Volunteer name __________________________________________________________________________

Troop number (if applicable) ________________________ Service unit ____________________________

Phone (_____)______________________Address ______________________________________________

City ____________________________Zip ___________Email _____________________________________

Section two – donor information

Name/business name _____________________________________________________________________

Contact person (if applicable) ______________________________________________________________

Donor address ___________________________________________________________________________

City ________________________________ State____ Zip ______Phone (_____)_____________________

Total donation amount $ ___________

Section three – Description of use of funds

Please list the way(s) this donation will be used. (Attach donation paperwork if you applied to another

organization for donations)

______________________________________________________________________________________________

Anticipated project completion date ___/___ /______

For office use only

___________

Approved by service unit manager/MDM

Date

Notes

___________

Requisition #

Date processed

Account # 10-58-6225-2000

Revised 7/2010

T:\Forms\FormsRevised2010\DonationtBudgetForm_Sept_2011

Troop/service Unit Donation Form