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___________________ ___________________ ___________________ ___________________ Signature ________________________________________________ Name on Card (Please Print) __ __ __ Expiration Date Card Number ________________________________________________ □ I am a Girl Scout alumna ________________________ ____________ Security Code □ Car Donations - I have a car to donate Payment Method Please charge my: □ Visa □ MasterCard □ American Express □ Discover on including Girl Scouts in my estate plans □ Juliette Low Legacy Society – I would like information Make checks payable to: GSCNC $5,000 or more for three years □ Major Gift Society - I would like to give a gift of □ Friendship Circle - I will become a monthy donor Have a lasting impact! Gold Award Programming Math and Science Programming Mentoring and Leadership Programming Campership and Transportation Girl Scouting for a year Membership Dues for six girls Volunteer Training $____________ Gift Amount $5,000 $2,500 $1,000 $450 $250 $100 $50 Other "I have gained a lot of confidence through my Girl Scout experience, especially at camp. I love to volunteer and push myself to pursue new experiences." - Girl Scout Cadette "I give to SHARE because I know that my gift will allow a girl to know she is part of something special; some place where she wants to be and can be herself." - Parent ly. Give monthip Circle: endsh Join the /give s .g www Your support starts here □ □ □ □ □ □ □ □ SHARE Her Annual Real Expense (SHARE) - GSCNC c/o Capital One Bank PO Box 17505 Baltimore, MD 21297-1505 Yes! I am making a contribution today. Invest in Girls "Wherever I go in life, I will channel the spirit of Girl Scouting. I know that I have the confidence to work with others to solve a problem and will always encourage girls to pursue their passion with the same enthusiasm I have found as a Girl Scout." - Girl Scout Ambassador "Girl Scouts taught me the importance of service and education. I would not be the person I am today with Girl Scouting." - Girl Scout Ambassador "As a leader, it is powerful to be able to tell parents who are struggling financially not to worry about the costs because Girl Scouts has the resources to take care of their daughter through SHARE." - Volunteer "Girl Scout has provided me with so many opportunities that I never thought possible and transformed me into a confident young leader." - Girl Scout Cadette

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