EmailMe Form - Payment Adjustment Form (First)

Service Unit: *

Please contact your Service Unit Cookie Manager if you do not know your Service Unit number.

Troop #: *

Name: *

First Last

Email *

Phone: *

### - ### - ####

Amount owed (Sent to you in an email.) *

see page 31 of Troop Plan Book

Amount that can be taken from troop account on Wednesday, February 12, 2025: *

Please note: a payment can be reduced but cannot be waived all together.

Reason for payment adjustment: *

Troop has not collected funds from parent(s)

Troop has large amount of unsold products

Troop has a large amount of Credit Card Payments

Other

Council will verify the credit card payments and once verified your access to planned orders will be turned back on.

If other, please explain:

If a payment plan is requested:

Remaining payment amount must be made by cashier’s check or money order (no Troop or personal checks will be accepted). Troops must make weekly payments as part of their payment plan. Troops may not pick up additional Cookies until paid in full.

Payment Plan -List date(s) & amount(s) to be paid: (Troop cannot pick up additional cookies until 1st payment is made in full).