Payment Policy Agreement MY2027 -Juliettes

Payment Policy Agreement MY2027 -Juliettes

The Payment Policy Agreement - Juliettes (PPA) outlines the financial responsibilities of caregivers and IRGs/Juliettes participating in council-sponsored product programs, including but not limited to the Cookie Program and Fall Product Program.
Caregiver Responsibilities

Caregivers participating in product programs agree to the following terms:

1. Complete and sign the Annual Permission Form.

2. The person(s) who has signed the Annual Permission Form is responsible for all product and money received for the product.

3. Submit payments by the deadlines outlined by the council.

4. Report any discrepancies regarding product within five (5) days of pick up to the SU Coordinator or productsales@gsnypenn.org.

5. If there is an error in the amount of your ACH, let us know right away.
Payment Requirements

Caregivers acknowledge and agree that:

1. All payments will be made via Automated Clearing House(ACH).

2. Payment Schedule:

3. Notify the Product Program staff at productsales@gsnypenn.org, if you do not have the funds available to cover any of the ACH withdrawals at least 1 business day before the payment is to be made. Bank fees are not the responsibility of GSNYPENN Pathways.

4. If a payment is returned, the funds must be made available within five (5) business days.

5. Outstanding balances may result in:

o Ineligibility for future product programs,
o Issuance of a demand letter and further action as defined by council policy.
o Referral to our collection agency or law enforcement.
Acknowledgement and Agreement

By signing below, the caregiver acknowledges and agrees to the terms outlined in this Payment Policy Agreement MY2027 - Juliettes and Annual Permission Form. The caregiver understands that failure to comply with these terms may affect their Girl Scout’s ability to participate in future product programs.

Payments will be made via ACH using the following account information:
Bank Name
Routing Number
Full Account Number
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Signature
Date

MonthDayYear
Date
Please provide a voided check or a letter from your financial institution with the above information.

Cancelof
If you have any questions, please email info@gsnypenn.org
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