Troop & Service Unit Bank Account Form

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Girl Scouts of Southern Illinois
Troop and Service Unit Bank Account Forms
Troop # ___________ Service Unit ___________
Bank Name ____________________________________ Bank Phone ________________________
Bank Street Address ______________________________ City/State/ZIP _____________________
As of this date: ___/___/___ Troop/Service Unit account # ______________ has a balance of $________
GSSI Finance Agreement
Troop/Service Unit treasuries must be deposited in a non-interest bearing account at a local bank under the
name of Girl Scouts of Southern Illinois Troop/SU # _______, using the GSSI federal tax identification number
37-0811488. Each account must be opened with two signatures of registered adult volunteers who are not
members of the same family or household. A third signature will be that of the service unit treasurer or
designated person and must be on the account for it to be an authorized Girl Scout account.
Signed (by all persons authorized to sign checks):
Name __________________________ Full Address ___________________________ Phone ____________
(The signature above will be the person to receive the bank statements)
Name __________________________ Full Address ___________________________ Phone ____________
Name __________________________ Full Address ___________________________ Phone ____________
Bank Instructions
As a bank accepting Girl Scout Troop/Service Unit accounts, please be aware of the following:
1.
Girl Scouts of Southern Illinois will cooperate with the bank, support the procedures, and will take action to
ensure that each account is maintained in a responsible manner.
2.
The Girl Scouts of Southern Illinois shall have access to records of each Girl Scout account.
3.
The Girl Scouts of Southern Illinois shall have the authority to close any Girl Scout account.
4.
Girl Scout accounts may have a one debit card per troop but not have cash withdrawal or cash advance
access.
5.
Girl Scout accounts may have online access for viewing purposes ONLY.
Bank Representative _____________________________________________ Date Opened ______________
Submit original form to your Council Representative, and retain a copy for your records.
Girl Scouts of Southern Illinois
Corporate Service Center
Regional Service Center
#4 Ginger Creek Parkway
4102 S. Water Tower Place
Glen Carbon, IL 62034
Mt. Vernon, IL 62864
(618) 692-0692 • (800) 345-6858
(618)242-5079
Fax: (618) 692-0685
Fax: (618) 242-5191
GSSI: formsflash/troopsubankaccountform 071609

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