Donation Form

Invest in Girl Scouts. Change the World.

Your support of Girl Scouts of Southeast Florida gives girls a space to lead, thrive, and make the world a better place. Because when girls are given opportunities to grow and develop their potential, they change the world!

You will receive an email confirmation of your donation upon successful submission.

If you would like to make a Cookies for the Military donation, please click here.

Your donation, no matter how big or small, can truly make an impact.

Thank you for your donation to Girl Scouts of Southeast Florida!

* Required Fields

Donation Information

Amount

Please select one:

Type of Donation

One Time Donation
Recurring Donation

Frequency

If you would like to designate your gift to go to a specific purpose, please add that information here:

Contact Information
* First Name
* Last Name
Company Name
* Address
Address 2
* City
* State/Province
* Zip/Postal Code
Home Phone
Cell Phone
Work Phone
* Email

Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to Girl Scouts of Southeast Florida and I will donate $0.00. No. I will donate $0.00 and Girl Scouts of Southeast Florida will cover the processing costs.

Credit Card Information
Card Holder Name

Card Account Number
Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same As Above
* Address
City
State/Province
* Zip/Postal Code
Email

Tribute
	Complete the following fields if this gift is in memory or in honor of another: (optional)	Type of Tribute
Tribute Name		Title
Address		City
State		Zip Code
Email

Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1 (800) 435-7352 WITHIN THE STATE OR GOING TO THE DIVISION OF CONSUMER SERVICES WEBSITE – WWW.FRESHFROMFLORIDA.COM/DIVISIONS-OFFICES/CONSUMER-SERVICES. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE. OUR REGISTRATION NUMBER IS CH1249.

Contact Us: Girl Scouts of Southeast Florida ••6944 Lake Worth Rd., Lake Worth, FL 33467 •• 561-427-0177 •• [email protected]