Cookie Sale Program Receipt Template
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1Cookie Sale Program Receipt
Girl Scout troops are responsible for obtaining a parent/guardian signature on this receipt each time cookies are given to a girl. Please use a
separate form for each girl. Troops should also record each cookie payment received from a girl on this receipt. The troop should keep the top
copy of the receipt for their records; the middle copy should be given to the parent at the conclusion of the cookie sale. The back copy only needs to be
given to the council if a girl does not pay her cookie bill in full. Please write firmly so that all copies are legible.
First Name
Troop #
Last Name
County/Area
Operation
Cookie
# Boxes
Date
Cookie Drop
Booth
Parent Signature
Notes/Comments
Received*
Boxes
Boxes
Total Boxes
Total # Boxes Sold
Amt Due @
$
$
$
Total Amt Due
$4.00 per
box
*If the girl transfers boxes to another girl or back to the troop enter the number of boxes transferred as a negative number.
Payment
Date
Troop Signature
Notes/Comments
Total Paid $
Amt Due
$
(Total Amt Due minus Total Paid)
Troops are welcome and encouraged to use the receipt books provided by the council to write individual receipts to parents for cookies
and/or payments, however for the troop's protection and to help prevent cookie debt, troops must obtain parent signatures on this Cookie
Receipt even if other receipts are written.
Troop Cookie Manager (Signature)
Troop Cookie Manager (Printed Name)
Date
6901 Pinecrest Road, Raleigh, NC 27613
1.800.284.4475
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