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Numeral Guards (5-30 Years)
Years of Service Pins (5-20 Years)
Request Form


About the Recognitions

Numeral Guards: Recognizes the number of combined Girl and Adult years as a registered member of Girl Scouts. Membership Numeral Guards for 5, 10, 15, 20, 25, and 30 years are purchased and presented by the Service Unit. *

*Form required for adults only. To purchase pins for girls, contact retail@gsep.org

Years of Service Pins: Recognizes years of Adult service as a registered member of Girl Scouts. Years of Service Pins for 5, 10, 15, and 20 years are purchased and presented by the Service Unit

- Individuals should work with their Service Unit Recognitions Chair (or appointee) to ensure accuracy and that there is no duplication

- Deadline is rolling

Instructions
  1. Complete all Requester Information fields
  2. Complete the Pins Requested fields
    1. Enter the number of individuals who should receive each pin (enter 0 where appropriate) 
    2. Enter the names of all individuals who should receive each pin (IE. Sally Smith - Ambler, PA; Betty Jones - Ambler, PA)
  3. Click "Submit" 
  4. Go to any local GSEP Retail Shop (or mobile shop with prior arrangement for pick up). Reference this request with the shop associate to purchase the pins
  5. GSEP staff will add pin information to individual's records

Requester Information

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**For each pin, please list the first and last name and city of recipients. Separate each name with a comma. Example: Jane Smith-Ambler, John Smith-Allentown**

Numeral Guards (Girl + Adult Years)

5 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

10 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

15 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

20 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

25 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

30 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

Years of Service (Adult Years)

5 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

10 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

15 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown

20 Years

 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown
 
Please list the first and last name as well as the city of all recipients, separated by a comma. Example: Jane Smith - Ambler, John Smith - Allentown