Girl Scouts of Yorba Linda California

This is the 2-part form with the orange margins.
Only the original 2-part form needs to be turned in. Additional copies are not necessary.

Click here for copy of Membership Dues Summary form
(Note: If you use this download you must make an extra copy for the registrar)

The following codes need to be added in the boxed area at the top of the page:

Find your Service Unit number in the chart below and
fill in the appropriate codes at the top of the Orange Form

• You must indicate the number of registrations and amount of dues and if any donations
  are being made.
• You must add in the leaders name, address, phone or leader ID #, if known, at the bottom.