Gateway Green Usage Request

Gateway Green Usage Request

Please use this form to redeem a Girl Scout's Gateway Green.
To apply Gateway Green to multiple options, complete the form and select all the applicable options. Please provide all information needed. Missing information may cause a delay in the use of Gateway Green. Processing Gateway Green may take up to 2 weeks.

Reminder: Gateway Green must be the first form of payment and then if it does not cover the entire cost you will be invoiced for the remainder.

For more infromaiton on Gateway Green please visit: Gateway Green Information
Girl Scout Name

First NameLast Name
Caregiver Name

First NameLast Name
Caregiver Email
example@example.com
Caregiver Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gateway Green Card Number: (Digital Dough Number)
Pin Number: (if applicable)
I am requesting to use my Girl Scout's Gateway Green to: Select all that apply
Name of Program Event
Dates of program, event, camp etc.

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What Community or Council is the event with: (Ex: Gateway, Citrus, Community 7)
Name of Camp session
Name of GS Destination Trip
Link to Program Event or Camp registration page (web URL)
Shop Details: If using Gateway Green for shop purchase, list items below including item #, size and color, and amount of each item. Please provide one item per line.
Event/Camp Registration Additional Details: List any information needed on registration form (emergency contact, food/medical allergies, T-Shirt size, etc.)
JULIETTES ONLY: For 'other' requests that do not fit above please provide details including dates, specific details, badgework that will be earned and how this ties to Girl Scouts.
JULIETTES ONLY: For travel oriented requests please remember Gateway Green can be only used for the Juliette and chaperone. Please provide direct links and as much details as possible for tickets, hotel, etc. One item per line.
How would you like to receive these items?
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have questions? Contact the Customer Care Team at 877.764.5237 or by email at customercare@gsgateway.org
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