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AUTHORIZATION TO OPEN
CHECKING ACCOUNT RECORDS

TODAY’S DATE:

DISTRICT

TROOP #

ACCOUNT NAME:
Girl Scouts—Dakota Horizons
Troop _ _ _ _ _ (5 digit number)

Be sure to have all bank statements sent to whoever is handling the account.
You do not need to put your name and address on the checks.

TAX ID NUMBER FOR ACCOUNT 46-0250744

Do not use a personal social security number to open account or print on checks.

SIGNER'S NAME:
ADDRESS: (include street, city, state & zip)
HOME PHONE:
WORK PHONE:
CELL PHONE:
E-MAIL ADDRESS:
CO-SIGNER'S NAME:
ADDRESS: (include street, city, state & zip)
HOME PHONE:
WORK PHONE:
CELL PHONE:
E-MAIL ADDRESS:
BANK NAME:
BANK ADDRESS: (include street, city, state & zip)
BANK PHONE NUMBER:
CHECKING ACCOUNT NUMBER:
DATE ACCOUNT OPENED:

AUTHORIZED SIGNERS ON ACCOUNT(S): MUST BE 2 REGISTERED ADULTS (not related)
By signing this form we hereby grant to the Board or Finance Committee of Girl Scouts—Dakota Horizons
access to this account for audit when necessary.

(Authorized signer’s signature)
(Authorized signer’s signature)

Note: All accounts held in the name of Girl Scouts--Dakota Horizons are subject to audit by the council audit firm. Each year a random sample of troop accounts will be selected for audit. If your Annual Troop Finance Report is not on file with the office you may be subject to an onsite audit by our audit firm.