Years of Membership Numeral Guard Form

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Years of Membership Numeral Guard
The Years of Membership Numeral Guard recognizes active adult members for their years
of Membership and Commitment to the Girl Scout Promise and Law.
Years of Membership include both years as an adult member and girl member.

Please submit requests for 5 and 10 year pins to your Service Unit Manager who will
submit them to the GSSSC Store for pickup or mailing. The deadline for 5 and 10 year
pins is determined by the Service Unit Manager. Pins are paid for by the Council.

Please submit requests for 15 years or more by February 1st to:
Recognitions Coordinator
Girl Scouts of Silver Sage Council
1410 Etheridge Lane
Boise, ID 83704
Recognitions@girlscouts-ssc.org
208-377-2011 x 109.
MEMBER INFORMATION
Name ____________________________________
Troop No. ____________
Address ___________________________________
Service Unit No. _______
City/ST/Zip ___________________________________________________________
Email________________________________________________________________
Years as a Girl ________ Years as an Adult ___________ Total ________________
Years of Membership Numeral Guard
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