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Girl Scout Council of the Mid-South

Online Donation


Yes, I want to help Girl Scouts build girls of courage, confidence and character, who make the world a better place.

Name(s) :*
(As you would like to be listed in our annual report)
Business Name (if applicable) : 
Address :*
City :*
State :*
  Zip :*
Home Phone :*
Work Phone : 
Fax : 
E-mail Address : 
   
Giving Categories:

Platinum Circle...$5,000 and above
Gold Circle.......1,000-4,999
Silver Circle.....500-999
Bronze Circle.....250-499
Pewter Circle.....100-249
Partner Circle....99 and below
Multi-Year Giving Society:

Character Builder
$275 per year for five years to sponsor a Girl Scout
Confidence Builder
$3,300 per year for five years to sponsor a Girl Scout troop
Courage Builder
$10,000 per year for five years to sponsor three Girl Scout troops
My tax-deductible contribution is :*
Please charge my :* VISA
MasterCard
  in the amount of :*
Card No :*
Expiration Date :* (MM/YYYY)
Name as it appears on card :*
  

I pledge a total of $ Please send me a reminder(s) in

I am paying $ at this time on my pledge.
Signature for pledge: Date:
(Typing your name here qualifies as a valid signature)

I am making this gift:
In honor of     

In memory of

Please send acknowledgement to:
First Name:
Last Name:
Address:
City:
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Zip:
I would like information on making a gift through a bequest, will, trust, estate, life insurance, stocks, bonds, and/or other financial instruments.
I was/am a Girl Scout. (includes Daisy, Brownie, Mariner, etc�)
I am interested in volunteer opportunities.

                             
You may submit form electronically by clicking submit or print and deliver to the
Girl Scout Council of the Mid-South
Mail: PO Box 240246, Memphis, TN 38124-0246
Deliver: 2715 Kirby Parkway, Suite 1
Fax: (901) 797-2183

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