Requestor's Information

First Name *

Last Name *

Phone Number * 🛈

Email Address *

Please Confirm Email Address *

You can schedule our mobile shop to come to your troop or service unit meetings, events, day camps, or camporees.

Name of Event *

Location (Name of Building) *

Street Address *

City *

State *

Zip Code *

Date of Event * +

Start Time *

End Time *

Number of Girl Scouts Expected *

Number of Adults Expected *

Is the event indoors or outdoors? *

Indoors

Outdoors

Both

Other Other

Site Ammenities
Please check the ammentities that are on site that the retail team will be able to use. Confirm availabilty prior to making selection. *

WiFi

Electricity

Tables available

Parking

Provide wifi information, number of tables available or other information needed to ensure a successful event. *

0/100 words

Event Description
Is this a leader or troop meeting? Please explain who is attending the event, ie girls, adults, leaders, families, or more. We want to make sure we are bringing the correct merchandise to your event. For example, if it is a leader event for Brownies - ask us to bring Brownie-themed merchandise. *

0/100 words

How can we best support this event? *

Bring selection of merchandise for onsite sales (minimum of 10 attendees)

Add this event as a pickup location for orders placed online

Merchandise Requested
Maximum of three choices *

List troop number/s and Girl Scout levels for all attending. *

Merchandise Details
Add additional information that supports your three choices above. For example, troop number, Girl Scout level, specific sizes, and more. *

0/100 words

Other Contacts
Please list other contacts who will be directly involved with this project.

	Name	Phone	Email
Contact 1	Name	Phone	Email
Contact 2	Name	Phone	Email