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Payment Adjustment Form

A Payment Adjustment Form should be submitted if funds are not available to withdraw from a troop bank account at the time of the auto-withdrawal for product. The Payment Adjustment Form can be completed by a Troop Product Manager (TPM), Troop Leader or Service Unit Product Chair. Troops who submit a Payment Adjustment Form are still responsible for all money owed.

If funds are not available due to a girl shortage, please fill out both the Payment Adjustment Form AND a Girl Shortage Form.

**Requests received after the deadlines listed below will not be processed in time to prevent the withdrawal and the troop will be responsible for any overdraft fees that occur**

The Fall Product Program deadline to submit the Payment Adjustment Form is November 1, 2019.

The Cookie Program deadlines to submit the Payment Adjustment Form are as follows:

  • First Auto-Withdrawal – February 25, 2020
  • Second Auto-Withdrawal – April 3, 2020
  • Final Auto-Withdrawal - April 30, 2020
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