Cookie Credit Transfer Form

Please fill out the online version or click here the Cookie Credit Transfer Form to submit by mail to: Girl Scouts of Kansas Heartland, Cookie Credit Request, 360 Lexington Road, Wichita, KS 67218 or email to gwortman@gskh.org

Cookie Credit Transfer Form

Use this from to request a transfer of Cookie Credit from the family registration account.

Girl Name*
Grade*
Troop # or IGM*
Address*
Street AddressAddress Line 2CityZIP / Postal Code
Phone*
Email*
You will be automatically notified by email once the transfer is complete. Please allow 24 hours for the transfer process. Once the Cookie Credits are transferred. They will not be available on the family on-line registration account. Additional information regarding Cookie Credits can be found at kansasgirlscouts.org. Cookie Credits may not be used for the annual GSUSA membership dues or for troop dues. Troop/Group product sales proceeds may be used to pay GSUSA membership dues.
Cookie Credits expire on December 15, 2013*
*When a Girl Scout participates in the annual Girl Scouts of Kansas Heartland cookie sale and is fourth grade or older at the time of her participation and does not spend her Cookie Credits prior to December 15 of the year of participation, the Cookie Credits will automatically be banked for her on December 16. Banked Cookie Credits may be used on future Council- sponsored Travel, Council-approved Troop/Group Trips, GSUSA destination and/or Lifetime Girl Scout membership upon graduation. Girls must be registered consecutive years or her Cookie Credits will be forfieted. Girls must be registered during her 12th grade year to apply Cookie Credits towards her Lifetime Girl Scout Membership.
Please select the appropriate transfer option(s) and indicate dollar amount(s).
1) Troop/Group On-line Event Registration Account (Applicable if a girl is attending a council camp or event with her troop/group)
Council Camp/Event Date(s) $ Amount
2)Council Shop: Please transfer to the shop where they will be spent. (Emporia, Garden City, Hays, Salina, or Wichita)
Shop location: $ Amount
NOTE: Cookie Credits transferred to Council Shops CANNOT be used for event registrations. After the Cookie Credits are transferred to a council shop, shop staff will track their use. Cookie Credits can not be transferred between council shops. Please do not transfer more cookie credits than is anticipated to be spent prior to December 15.
Permission for Troop/Group Leader to use Cookie Credits in Council Shop:
FirstLast
As parent/guardian of the stated Girl Scout above, I give my permission for her Troop/Group Leader to use her earned Cookie Credits for purchase(s) in the Girl Scouts of Kansas Heartland council shop as indcated above.
3) Council-sponsored Travel, Council-approved Troop/Group Trip or GSUSA destiniation:
Name of Travel/Trip/Destination Date(s) Location
Cookie Credit Transfer Amounts for Travel/Trip/Destinations
Banked credits Current credits Total to apply
4) Out-of-Council Resident Camp
Name of Outside Council/Camp Date(s) of Resident Camp $ Amount
As parent/guardian of the stated Girl Scout, I agree to the Cookie Credit transfer request as outlined in this form. I understand that Cookie Credits may not be transferred back to the on-line registration account once they are transferred elsewhere. *
Parent/Guardian Date
This form will be submitted automatically. There is a PDF version to print and mail in the Forms & Resources section. Cookie Credit inquiries can be directed to gwortman@kansasgirlscouts.org

Cookie Credit Transfer Form

Cookie Credit Transfer Form

Cookie Credits expire on December 15, 2013*

Please select the appropriate transfer option(s) and indicate dollar amount(s).