2015 COOKIE SALE Alert Form INSUFFICIENT FUNDS FOR SWEEP Community # __________ Today’s date:_________________ Troop # ___________ Name of individual completing this form__________________________________ Phone & Email ______________________________________________________ Position with troop __________________________________________________ Please circle which sweep this alert applies to: SWEEP #1 - DUE Mar. 17 SWEEP #2 - DUE Mar. 31 AMOUNT AVAILABLE TO SWEEP SWEEP #3 - DUE Apr. 21 $_______________________ Reason funds are not available: ____________________________________________________ ______________________________________________________________________________ Alert applies to one sweep only. Please resubmit alerts, if necessary, for subsequent sweeps. Failure to submit on time may result in a $6 service charge from GSGWM. If delinquency lies with an individual troop member (s), please list the following: Girl #1 name with outstanding balance: _____________________________________________ Parent’s name _________________________________________________________________ Address|City|ST|Zip: ____________________________________________________________ Phone _____________________ Work# ____________________ Cell# ____________________ Email address:__________________________________________________________________ Girl #2 name with outstanding balance: _____________________________________________ Parent’s name _________________________________________________________________ Address|City|ST|Zip: ____________________________________________________________ Phone _____________________ Work# ____________________ Cell# ____________________ Email address:__________________________________________________________________ Include this form, copies of the girls’ signed parent permission slip, signed product receipts, and any information with your form. DO NOT pay delinquent girls’ debts. This form must be submitted to the Council Office, attention Dawn Sanborn, [email protected] mail, email or fax 603-623-6404 by 1:00 pm on the due dates. Girl Scouts of the Green and White Mountains – PO Box 10832 – Bedford, NH 03110 • • • Girl Scouts of the Green and White Mountains – PO Box 10832 – Bedford, NH 03110
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