I agree to allow the Girl Scout Council of Greater Minneapolis to charge my credit card on or about the 15th of each month in the amount of $__________ per month for 12 months. (Minimum contribution of $10 per month). The Girl Scout Council of Greater Minneapolis accepts VISA, Mastercard and Discover. 

Type/#______________________________________, exp. __________

*If you sign-up for automatic monthly credit card payments only, you will receive a Girl Scout Council of Greater Minneapolis logo
Coleman 1/3 gallon Jug Cooler for your family!

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 I will pay $_________ per month online by going to the website www.girlscoutsmpls.org and clicking on Donate Now. I would like a monthly reminder via e-mail. Donate Now accepts VISA, Mastercard, Discover, Cirrus/Novus, Diner’s Club, and American Express. 

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I will pay $_________ per month in the form of a check payment mailed monthly to the council office. My first monthly payment is enclosed. I would like a monthly reminder via e-mail. 

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My and/or my spouse’s employer has a matching gifts program. Company Name:__________________________________________________________ 

Signature:_____________________________________________________________________________

Name(s):_____________________________________________________________________________

Address:_____________________________________________________________________________

Phone:_____________________________________________________________________________

Email: _____________________________________________________________________________

Service Unit: ________________________ Troop #:________________________