Girl Scouts
Logo: Girl Scout Trefoil
Masthead: Girl Scout - Heart of Missouri Council
Masthead: Girl Scout - Heart of Missouri CouncilGirl Scout - Heart of Missouri Council
Masthead: Girl Scout - Heart of Missouri Council
About the Girl Scouts - Heart of Missouri Council
Join the Girl Scouts - Heart of Missouri Council
Girl Scouts Only
Programs and Events by the Girl Scouts - Heart of Missouri Council
News from the Girl Scouts - Heart of Missouri Council
Girl Scout Shop
Girl Scout Product Sales
Return to GSHOMC home page GSHOMC Home GSHOMC sitemap Contact GSHOMC Search our site GSHOMC disclaimer
Forms Library: Girl Scouts - Heart of Missouri Council Online Registration: Girl Scouts - Heart of Missouri Council Online Training: Girl Scouts - Heart of Missouri Council Facilities & Campsites: Girl Scouts - Heart of Missouri Council Support Girl Scouts: Girl Scouts - Heart of Missouri Council Service Teams: Girl Scouts - Heart of Missouri Council

Family Partnership Printable Donation Form

This form is designed to be completed online, printed and mailed.

I am interested in supporting the Girl Scouts - Heart of Missouri Council and would like to make a contribution .

Enclosed is my gift of $ . Please make check payable to GSHOMC.
I pledge $ ; please bill me at the address provided.
I prefer to pay by credit card; please bill my gift to
  VISA
MasterCard
Discover
Account Number
Expires
Signature
Date
Please note my level of support
 

$10,000 or more Benefactor’s Circle
$5,000 - $9,999 Patron’s Circle
$1,000 - $4,999 President’s Circle
$500 - $999 Mentor’s Club
$100 - $499 Century Club
Other $

Personal Information
Name(s)
Address
City State Zip
Home Phone
Work Phone
E-mail Address


Please sign and mail to:
 Girl Scouts - Heart of Missouri Council
230 Metro Drive
Jefferson City, MO 65109

***Your gift is tax deductible to the extent allowed by law when given
to Girl Scouts - Heart of Missouri Council.***

230 Metro Drive, Jefferson City, MO  65109    |    573-893-5505    |    800-707-1917