Donation Form

Black Friday..Cyber Monday..

Thank you for your generous support of

Girl Scouts of Southeast Florida!

Donation

Amount

$250 - I want to give uniforms to 10 new Girl Scouts

$100 - I want to give more Girl Scout outdoor experiences to underserved girls

$40 - I want to give the gift of Girl Scouting to a girl for one year

Complete the following fields if this gift is a tribute. (optional)

Type of Tribute

Tribute Name

Title

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

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]