Girl Scout Dough Activity Form
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I am using dough from a Carryover Account. (In the chart below write “Carryover”)
I am using this Girl Scout Dough and/or Carryover for:
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Girl Scout Council Event Reimbursement (i.e. Council event, Girl Scout Resident Camp
or Day Camp, etc.). Please attach receipt
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Troop Trip: Please attach the following documentation:
Approved Troop Travel Application DUE 3 WEEKS PRIOR TO TRIP to SUD
Receipts OR EF Tours acceptance letter/bill
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GSUSA Destination Trip: Please attach the following documentation:
Receipts or Program acceptance letter
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GSCTX Council Trip: Please attach the following documentation:
Receipts OR EF Tours acceptance letter/bill, etc.
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Master Property Plan Donation: (i.e. Council camps, service centers, or scout houses)
Entire Girl Scout Dough Card #
Amount
Girl Scout’s Name
Service Unit
Troop #
OR Carryover
Requested
List additional girls on an attachment with same information requested.
TOTAL
To receive reimbursement, please complete the following: (Troop trip funds must go to troop
account: Please write Troop # XXX c/o your first name your last name in name section)
Name ___________________________________ Phone # ________________ Troop ______
Address _____________________________________________________________________
City __________________________________________ State _____
ZIP ______________
Return completed form to: Girl Scouts of Central Texas ATTN: Product Programs
12012 Park Thirty-five Circle ■ Austin, TX ■ 78753
Fax (512) 458-2390 ■
Office Use Only:
Date Received:
_____ _
Date Needed:
___
___
Ordered By: __________
Check One:
10-2140____
10-2141______
Approved By: _________
MDE Approval- for troop travel only: __________