Girl Scouts of Eastern Missouri
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Neighborhood Pin Approval Form
This signifies my approval of purchase of Daisy pin(s) for presentation to:
PLEASE PRINT
Name: Position:
Name: Position:
Name: Position:
Name: Position:
Neighborhood Manager: D/N:
This signifies my approval of purchase of
Date:
Promise Award pin(s) for presentation to:
PLEASE PRINT
Name: Position:
Name: Position:
Name: Position:
Name: Position:
Neighborhood Manager: D/N: Date:
This signifies my approval of purchase of
Outstanding Leader pin(s) for presentation to:
PLEASE PRINT
Name: Position:
Name: Position:
Name: Position:
Name: Position:
Neighborhood Manager: D/N: Date:
Daisy Pins, Promise Award Pins and Outstanding Leader Pins may be purchased only from the
Girl Scout Shop. This approval form must be presented at the time of purchase, or
must accompany a mail order. Make checks payable to: Girl Scouts of Eastern Missouri.
VP-87