Troop & Service Unit Bank Account Form printable pdf download

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 ____________

Bank Instructions

As a bank accepting Girl Scout Troop/Service Unit accounts, please be aware of the following:

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.

The Girl Scouts of Southern Illinois shall have access to records of each Girl Scout account.

The Girl Scouts of Southern Illinois shall have the authority to close any Girl Scout account.

Girl Scout accounts may have a one debit card per troop but not have cash withdrawal or cash advance

access.

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

Troop & Service Unit Bank Account Form