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NSF/Bad Check Form

Please view our NSF/Bad Check FAQ document for more information on what to do if your troop receives a bad check in payment during the Product Programs.

After reviewing this FAQ and gathering the related documents, fill out the NSF/Bad Check Form below.

In addition to completing this form, be sure to mail all returned checks to the Des Moines Leadership Center at 10715 Hickman Road, Des Moines, IA 50322.

Please note that this form must be completed within 30 days of receiving the chargeback notice from the bank. Also, the council will not reimburse a troop for a check that is more than 90 days old. 

If you have questions or concerns, please give us a call at 800-342-8389 or email us at info@gsiowa.org. 

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Returned Check Information

 
 
$00.00
 
$00.00
 
 
$00.00
 
$00.00
 
 
$00.00
 
$00.00
 
 
$00.00
 
$00.00
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$00.00
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$00.00
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By clicking "Submit," you are confirming that all information within this form, including the attached document, is complete and truthful. 

After submitting your form, be sure to mail the returned check(s) to 10715 Hickman Road, Des Moines, IA 50322.