Juliette ACH Debit Authorization
Purpose of this form
This form is to be completed by an authorized check signer on the bank account in which you will be depositing your Juliette Girl Scout's money collected for product sale programs, giving GSSEM permission for ACH debit transactions for the total amount due for the 2022 Fall Product Program and 2022-23 Cookie Program.
A scan or copy of a check must be uploaded. If you don't have checks, you may upload a letter from the bank/credit union with the account number and routing number.
