Girl Scout Council of the Mid-South

Location of Troop/Group Funds
Instructions:
  File this form with the Council no later than two weeks after opening an account, changing banks, or
  changing authorized signatures.
Fields marked with an asterisk * are required.
Troop #:*
Service Unit:*
Date form completed:*
Name of Bank:*
Branch:*
Checking Account #:*
Savings Account #:*
Names of Authorized Signatures: 
First Name:*
Last Name:*
Girl Scout Position:*

First Name:*
Last Name:*
Girl Scout Position:*

First Name:*
Last Name:*
Council Staff Position:*

Number of signatures needed on check:*
Statements are mailed to:  
First Name:*
Last Name:*
Email:  
Address:*
City:*
State:*
Zip:*

                             
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