Shop Order Form
Girl Scouts of North-Central Alabama
Date
Name
Address
City, State, Zip
Phone#
Method of Payment:
Check
Exp. Date Security Code (3 digit)
Signature
ALL ORDERS MUST BE PRE-PAID.
Check one:
To be mailed
Store pick-up (date)________________
Girl Scout Shop Locatons:
Birmingham Service Center/Shop
105 Heatherbrooke Park Drive
Birmingham, AL 35242-8008
Toll Free 800-734-4541
retail1@girlscoutsnca.org
Huntsville Service Center/Shop
1515 Sparkman Drive NW
Huntsville, AL 35816
Toll Free 800-734-4541
retail1@girlscoutsnca.org
Shipping and handling charges are
calculated based on weight and
destination of package. Prices will
vary. Most items shipped economy
USPS.
Quantity Item # Size Color Description Unit Price Total Price
Sub-Total
S&H
Total
Cash
Credit Card
Gift Certificate
Credit Card #
Type
Date Needed
Picked-up date
Mailed date
Customer/Staff Signature
By Associate
Email
Shop, Product, Sales, Etc.
Original Gift Certificate
must be mailed prior to shipping/delivery