Opening a Girl Scout Bank Account and ACH Authorization Form

Girl Scouts of Northeast Texas
Opening or Changes to a Girl Scout Bank Account
STEP ONE
To be eligible to open/sign on a GSNETX bank account you must have completed the volunteer application
process within the last 24 months and have an appropriate volunteer security status. If you need to
complete one go to: www.gsnetx.org/applynow. All volunteers who sign on the account must be listed.
Once the process is complete, all volunteers listed on the account will be assigned an appropriate position
for the troop or service unit (Treasurer). If changes are made to the signatures on an account, this form must
also be submitted.
Before opening a Girl Scout bank account, choose a bank and get a contact person at the bank. (Be sure to
check that the account will be free or have a minimal monthly charge). Then complete this form and send to
Robert Williams at Girl Scouts of Northeast Texas, 6001 Summerside Dr., Dallas, TX 75252; fax 972 349-2498;
OR e-mail [email protected]. A letter authorizing you to open a Girl Scout bank account will be sent to
your chosen bank within two business days after receiving your request if requirements have been met.
Remember that when Girl Scout Troop funds grow to an amount over $100.00, GSNETX policies require a
bank account to be opened unless those funds are being collected and immediately disbursed for GSUSA
registration or an event.
Bank Name
Bank Address
City
Bank Contact Name
Bank Contact’s Phone #
 New Account OR
Zip Code
Email
Fax #
 Updating information on an existing Account – Acct #
Account name will be:
Girl Scout Troop accounts…
Girl Scouts of Northeast Texas
GS Troop #
OR
Girl Scout Service Unit accounts…
Girl Scouts of Northeast Texas
GS Service Unit #
The following names will be on the signature card and have access to the account (must be at least two (2)
names of persons who are not related to each other). If making changes to an existing account, please list
everyone who will need to be added, removed, and remain on the account:
 Add  Remain as is
1.
Email:
 Remove  Change
 Add  Remain as is
2.
Email:
 Remove  Change
 Add  Remain as is
3.
Email:
 Remove  Change
 Add  Remain as is
4.
Email:
 Remove  Change
Bank Statements/Notifications to go to:
Name
Address
If Girl Scout Troop account:
GS Troop Leader’s Name
Phone #
Email:
If Girl Scout Service Unit account:
GS Service Unit Manager’s Name
Phone #
Email:
Troop/SU Bank Account Registration Form
2014 Troop Registration
2015 Cookie Program
STEP TWO
Complete and return to Council in order to sell cookies.
You will NOT be granted access to ebudde if form is not turned in to Council prior to selling.
Troop #: ________ Service Unit #:________
Type of Account:
Checking or
Savings
Bank Routing Number:____________________ Account Number:_____________________
ATTACH VOIDED CHECK HERE
or routing verification from bank.
DO NOT ATTACH DEPOSIT SLIP
This form is to be used by all GSNETX Troops to register their bank account with council and authorize ACH debit
transactions during the 2014-2015 GSNETX Cookie Program.
Troop acknowledges and agrees to:
1. Signers verify that the troop account is set up under the GSNETX council tax id number.
2. Troop agrees to work closely with GSNETX to pay all amounts due to the Council in any manner agreed to
by both parties.
Troop acknowledges and agrees for the cookie program that:
1. GSNETX will debit the above troop bank account according to the instructions provided during training for
the 2014-2015 Cookie Program. You will not need to submit e-payments.
2. Troops are responsible for depositing sufficient funds to cover these debits, and will be responsible
for any resulting non-sufficient funds (NSF) charges.
3. Refer to www.texascookietime.org for ACH procedures and dates.
4. Troop expressly authorizes GSNETX to repeat debits that fail for any reason.
5. Troop agrees to $0.02 prenote ACH to verify the bank account in December 2014.
6. Troop understands that they may not participate in the Cookie Program until Troop Account Registration
Form is received by the Council.
This authorization must be signed by both authorized check signers for the troop.
Signature: _____________________________
Signature:
Printed Name: ________________________
Printed Name: ________________________________
Position: _______________________________
Position: ______________________________________
Phone:_____________ Date: ____________
Phone:________________ Date:__________________
Please return completed form to fax 972-349-2498 or mail to 6001 Summerside, Dallas, TX 75252, attention: R. Williams