This form should be used by Girl Scouts of Southern Illinois (GSofSI) troops and service units to authorize ACH debit/credit authorizations between the council office and the troop and/or service unit checking account. This form is to be completed annually and there will be a new form created for each membership year.

Troop/Service Unit acknowledges and agrees to:

1. Attach a voided check or a copy of a check (verifying banking information) to this completed and signed form. no later than September 15th, within 14 days of opening a new checking account, and/or if signers on the account change.
2. Troops and/or service units will verify the amount to be withdrawn or deposited based on information provided by the council office through email or other online systems (M2, eBudde, etc.). For service units only, this includes all transactions related to product program activity for Independently Registered Girls (IRGs), also known as Juliettes.
3. All funds collected through troop and/or service unit activity must be deposited into the troop or service unit bank account. To avoid non-sufficient (NSF) charges, please allow at least three business days for deposited checks to clear before any scheduled debits.
4. The troop and/or service unit expressly authorizes GSofSI to repeat any debit that fails for any reason.
5. The troop and/or service unit agrees to follow fund collection procedures as outlined in training materials.
6. This authority will remain in full force and effect until GSofSI has received written notification of its termination in such a time and manner as to afford GSofSI and the Depository a reasonable opportunity to act upon it.
7. This authorization must be signed by an authorized check signer for the troop or service unit.

Attach voided or copy of troop check (Do not provide a deposit slip)

If a voided check or check copy is not available, the bank must provide the bank routing and troop account number on bank letterhead.