Girl Scouts of Kentuckiana Shop Order Form

Use this form to purchase everything needed for your Girl Scout experience, including Girl Scout merchandise, badges, fun patches or boxes and Patch of the Month, program packets, uniform essentials, and more!

Take advantage of FREE SHIPPING on all orders or use our curbside pick up service at the Louisville PLC. A GSK Retail Specialist will call to confirm your order. Thank you for your patience—we are working hard to complete your orders in a timely manner!

Please tell us what you would like to purchase by listing the items and information required in the Shopping Cart. Use the links below to browse available items:

Girl Scouts Official Online Store: https://www.girlscoutshop.com/

Fun Patches and Pins: https://www.advantageemblem.com/products/Stock-Patches-Pin.asp

For items included in the available Girl Scouting at Home opportunities: https://www.gskentuckiana.org/en/activities/girl-scouting-at-home.html

Questions? Contact Angela Jones, GSK Retail Specialist: 502-716-7232

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Troop # *

Shopping Cart *

Please provide the item name, item number, quantity and size if applicable.

Please select how you would like to receive your order. *

Shipment Details

Ship my items as inventory available (could result in multiple shipments to your address) Hold my order until all items are in stock (items delivered in fewer shipments to your address)

Using Louisville PLC Curbside Pick Up? Select your pick up time window from the following options.

Ordering a Program Box? If you are unable to do curbside pick-up and are ordering a program box, please reach out to your Membership Experience Coordinator to make arrangements to meet at your local office or camp to pick-up. Due to the large size and weight, program boxes cannot be mailed. Please provide two weeks notice to allow for arrangments to be made.

Payment Options *

Paying with Card? You may enter card information below for payment. JotForm is a secure platform, however if you prefer to give your information to a staff member over the phone, please indicate that below in the Questions or Comments section, and we will call you to process payment.

Shop Discount Code

Name as it appears on the card

Card number (with dashes or spaces)

CVV

Expiration date

mm/yy

Paying with Kentuckiana Credits? Please list all Kentuckiana Credit cards being used with the following information Name on card, card number, CVV if applicable and amount you want deducted from the card. Please note we cannot give cash back or refund card balances to a credit card. If a partial amount is used then the remaining credit will be available on the same card number.

Type a question

Enter Kentuckiana Credits Information Here

Questions or Comments?

Have you renewed your GSK membership for 2022?

Yes No

Would you like to be contacted for help with membership renewal?

Yes No

Shop Order Form

Order Information

Payment Information