2025-26 Cookie/Money Exchange Electronic Receipt

Volunteer Name

First NameLast Name

Caregiver Name

First NameLast Name

Volunteer Email

example@example.com

Caregiver Email

example@example.com

Girl Scout Name

First NameLast Name

Service Unit

Troop Number

Which of the following is being exchanged today?

Girl Scout Cookies

Rows	Packages	Cases (12 pkgs)
Adventurefuls
Lemon Ups
Trefoils
Do Si Dos
Samoas
Tagalongs
Thin Mints
Exploremores
Toffee-Tastics

Total Packages

Total Cases

Total $

Amount Paid Today

cash/check/other collected in person

Digital Cookie (DOC) Online Payment

DOC girl delivery/in hand cookies paid online

Remaining Balance

Balance Due

Amount Paid Today

cash/check/other collected in person

Remaining Balance

Paid with (Check all that apply)

Other

I acknowledge that my Girl Scout has permission to participate in the Girl Scout Cookie Program and I am financially responsible for the cookies received.

Volunteer Signature

Caregiver Signature

Date

Additional Notes