I would like to make a contribution to
Girl Scouts of Tejas Council
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Amount: $________________

Payment Method:
[  ] Check payable to Girl Scouts of Tejas Council (enclosed or is in the mail)

[  ] Please charge my     [  ] MasterCard     [  ] Visa     [  ]American Express     [  ]Discover
          Account #_____________________________     Exp. Date: (month)_____/(yr)_____

          Name on Card______________________________________________

          Signature__________________________________________________


I would like to know more about the following opportunities to support Tejas Council:

____ Family Partnership       ____ Planned Giving      ____ Capital Improvements 

Name _____________________________________________________________________

Address:____________________________________________________________________

City: ___________________________________State:_______________ Zip:______________

Office Phone: (_____)__________________________________

Home Phone: (_____)__________________________________

E-mail: _____________________________________________

If you are a Tejas Girl Scout member:
Troop # ________ and Service Unit # (if known)_____

Please indicate if your donation is a memorial gift or in honor of someone special. Include mailing address if you wish to have an acknowledgement sent to the family or honoree:



Please mail or fax this form to
Girl Scouts of Tejas Council, P. O. Box 797447, Dallas, Texas 75379-7447
Fax: 972-349-2499