Multiple Pathway Cookie Sale Designation Form
Instructions: Please complete and submit to GSWPA, 612 Locust Street, Johnstown, PA 15901,
Attn: Pathway Cookie Sales or email to [email protected] by the established
initial cookie order due date. Please make sure that all GSWPA groups are listed as GSWPA will not
be able to add additional groups once the form has been processed.
Girl Scout:
Parent/Guardian:
Address
Street
City
Phone-Day
Girl Scout Email Address (if 13 or older):
State
Zip
Evening
Parent/Guardian Email Address:
The GSWPA groups/troops Girl Scout participates in:
Group/Troop # _______________
Group/Troop # _______________
Group/Troop # _______________
Group/Troop # _______________
Please note: Cookie sales will be credited to each GSWPA group that the Girl Scout participates in
equally as stated in #2 of the Multiple Pathway Cookie Sale Procedure. For example: If a Girl Scout is
in a troop and joins a travel club, her cookie sales will be split 50/50 between the two groups. Booth
sales are credited to the group sponsoring the booth.
Initial Cookie Order:
Donated Boxes
___________
Savannah Smiles
___________
Trefoils
___________
Do-Si-Dos
___________
Rah Rah Raisins
___________
Samoas
___________
Tagalongs
___________
Thin Mints
___________
Totals
___________
Girl Scout Signature
Date
Parent/Guardian Signature
Date
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