Please print clearly.
BANK ACCOUNT INFORMATION
Troop # / Service Unit:
Troop Level: / o Daisy / o Brownie / o Junior / o Cadette / o Senior / o Ambassador
Bank Name/Branch ______Account # ______
Authorized Signers (3 recommended; please print)
1. ______2. ______
3. ______4. ______
NOTE: The account must be in the name: Girl Scouts of Greater Los Angeles, Troop #XXX (substitute your Troop #).
All troop accounts require two signatures on the checks. Three authorized signers are recommended.
TROOP FUNDS
A. BEGINNING BALANCE
Checking Acct $ / + Savings Acct $ / + Cash $ / = $
INCOME
Juliette Low World Friendship Fund
Troop/Group Dues
Cookie Program Proceeds
Fall Products Proceeds
Family Partnership – Troop/group Credit
Additional money collected (camping, events, etc.)
Other money earning projects
Other contributions or donation
B. TOTAL INCOME
C. TOTAL MONEY AVAILABLE (A+B)
EXPENSES
Juliette Low World Friendship Fund
Equipment (flags, books, etc.)
Program Activities (trips, parties, etc.)
Cookouts, Troop Camping
Service Projects
Program supplies
Other expenses
D. TOTAL EXPENSES
E. ENDING BALANCE (C-D)
(Checking Acct $ / + Cash $ / )
Money is to be used for: ______
______
______
Signature of Troop Leader Signature of Troop Treasurer
Please make a copy for your records and return original to your Membership Service Delivery Specialist.
For your convenience, below are addresses and numbers for each GSGLA Service Center.
GSGLA Headquarters
801 S. Grand Ave., Ste 300
Los Angeles, CA 90017
Phone # (213) 213-0150
Fax # (213) 213-0123 / Central Region – Arcadia Service Center
101 E. Wheeler Ave.
Arcadia, CA 91006
Phone # (626) 677-2200
Fax # (626) 447-0683 / East Region – Montclair Service Center
9525 Monte Vista Ave.
Montclair, CA 91763
Phone # (909) 399-0808
Fax # (909) 626-3639
North Region –
Chatsworth Service Center / North Region –
Antelope Valley Service Center / North Region –
Santa Clarita Service Center
9421 Winnetka Ave. / 233 Mall Loop Rd., #119 / 21515 Soledad Canyon Rd., #118
Chatsworth, CA 91311 / Lancaster, CA 93536 / Santa Clarita, CA 91350
Phone # (818) 886-1801 / Phone # (661) 723-1230 / Phone # (661) 287-1985
Fax # (818) 407-4840 / Fax # (661) 723-1359 / Fax # (661) 287-6139
Southwest Region – Santa Monica Service Center
2525 Ocean Park Blvd.
Santa Monica, CA 90405
Phone # (310) 450-3720
Fax # (310) 310-450-3921 / Southwest Region – Long Beach Service Center
4040 N. Bellflower Blvd.
Long Beach, CA 90808
Phone # (562) 8456
Fax # (562) 429-2751
Girl Scouts of Greater Los Angeles 801 S. Grand Ave., Ste 300 Los Angeles, CA 90017 Phone (213) 213-0150 Fax (213) 213-0123 www.girlscoutsla.org