Fall Product ACH Debit Authorization PS FALL- ACH Debit Authorization This form is to be used by all GSGLA Troops to authorize ACH debit transactions during the GSGLA Fall Product Program (required).Via this form, please upload one of the following: 1. A copy of a troop check – make sure the account and routing numbers are clearly visible. 2. Or, a letter from the bank that includes the troop number, routing number and account numbers. DO NOT upload deposit slips or the letter you received to open the account or any other documents or images. When entering your account number, DO NOT enter the check number.Service Unit:*202 Journey Girls – UPL400 Rancho Foothills401 Alhambra/Rosemead402 Bonita403 Claremont404 Anita Oaks/Mission Camellias405 Chino406 Canon Trails/Rio Hondo407 CV/Glendale408 Pomona409 River Trails411 Upland412 La Canada414 Monrovia/Duarte415 Las Caballeras416 Puente Hills418 San Marino419 Glendora420 South Pasadena421 Covina Oaks422 West Covina425 Crown Poppy426 Mountain View427 Campo Verde428 Ontario/Montclair429 Gateway450 Chino Hills501 Compton/Lynwood502 Bellfower/Hollymount503 Belmont504 Lachen505 Holly Hills506 Highland Rose507 Lakewood508 Alamitos/Marina509 Westchester/Del Rey511 Culver City512 RDE/Sil-Dom513 Northeast Hills515 El Segundo516 East LA517 Southeast518 Center City519 Lawnthornes522 La Brea Heights524 King Harbor526 North Redondo Beach528 Manhattan Beach529 South Bay Four533 Marina538 Palisades/Malibu540 San Pedro542 Santa Monica Bay543 South Torrance545 North Torrance546 PV/Peninsula601 Burbank604 Westside605 Rancho Calabasas606 Las Virgenes608 Palmdale612 Golden Savannahs616 Canyon Star617 Sagebrush624 Woodland Hills636 Kern640 Mission Rose641 Twin Oaks642 Heart of the Valley643 Stoneyridge644 Magnolia647 Lancaster649 Coyote Canyon650 North RiverUnsure or N/ATroop Number (Five Digits):*Troop number should be 5 digits, no “#” or “-” symbols in the number please. Ex: 00123, 01416, 15224. Troop Leader Name:* First Last Troop Leader Phone:*Troop Leader Email:* Enter Email Confirm Email Bank InformationHiddenBank Name DNU: Bank Name:*Armed Forces BankBanc of CaliforniaBank of AmericaBank of the WestCalifornia Bank and TrustCalifornia Federal Credit UnionChaffey Federal Credit UnionChaseChino Commercial BankCitizens Business BankComericaCredit Union of Southern CaliforniaDowney Federal Credit UnionEast West BankFarmers & Merchants BankFirst BankFirst Citizens BankFoothill Federal Credit UnionGain Federal Credit UnionGlendale Area Schools Federal Credit UnionKinetcaMalaga BankMufg Union BankPacific Premier BankPacific Western BankPasadena Federal Credit UnionPasadena Service Federal Credit UnionPremier America Credit UnionSCE Federal Credit UnionSouth Bay Credit UnionSouthland Credit UnionTorrance Community Credit UnionUMe Federal Credit UnionUmpqua BankUnify Federal Credit UnionUnion BankUS BankVons Credit UnionWells FargoWescom Credit UnionOtherOther Bank Name:* Bank Account Number:* Bank Routing Number:*Alta One Federal Credit Union-322274462Americas United Bank-122244498Armed Forces Bank-101108319Arrowhead Credit Union-322282603Banc of California-122243774Bank of America-121000358Bank of America-122000661Bank of the West-122242843Bank of Whittier-122239542Broadway Federal Bank-322070145California Bank & Trust-122003396California Federal Credit Union-322078464Camino Federal Credit Union-322279975Capital One-31176110Cathay Bank-122203950Chaffey Federal Credit Union-322280375Chase-322271627Chino Commercial Bank-122243062Citibank-322271724Citizens Business Bank-122234149City National Bank-122016066Comerica-121137522Credit Union of Southern California-322283796Downey Federal Credit Union-322275115East West Bank-322070381Edwards Federal Credit Union-322270770Farmers & Merchants Bank-122201198Fire Fighters First Credit Union-322078341First Bank-81009428First Bank-122239131First Choice Bank-122243994First Citizens Bank-122037760Foothill Federal Credit Union-322273489Gain Federal Credit Union-322274116Glendale Area Schools Federal Credit Union-322280058Kinecta-322278073LA Federal Credit Union-322078370Malaga Bank-322286120Mission Bank-122242791NuVision Federal Credit Union-322282399OneWest-322270288Pacific Premier Bank-122244566Pacific Premier Bank-322285781Pacific Western Bank-122238200Pacoima Credit Union-122287471Pasadena Federal Credit Union-322280728Pasadena Service Federal Credit Union-322280731Popular Community Bank-122239869Premier America Credit Union-322283990SCE Federal Credit Union-322280032Schools First Federal Credit Union-322282001South Bay Credit Union-322281028Southland Credit Union-322078325State Farm Bank-071174431Torrance Community Credit Union-322283152UMe Federal Credit Union-322274132Umpqua-121141107Umpqua Bank-123205054Unify Federal Credit Union-322079719Union Bank-122000496United Methodist Federal Credit Union-322280906US Bank-122235821Vernon Commerce Credit Union-322084597Vons Credit Union-322275429Wells Fargo-091000019Wells Fargo-121042882Wells Fargo-122000247Wescom Credit Union-322079353OtherOther Bank Routing Number:* Voided Check:*Or a letter from bank that includes troop number, routing number, and account number. Is your file size too big to upload? Click here for a free file size reduction tool.Max. file size: 50 MB.AcknowledgementsTroop acknowledges and agrees to ACH: GSGLA will debit the troop checking account according to the instructions provided during training for the current year’s Fall Product Program. Troops are responsible for any and all product ordered and/or entered into M2OS (it is incumbent upon the Troop Fall Chair or her designee to make sure what is ordered/entered is accurate at the time it is ordered/entered). The monies due for all Council proceeds will be debited early December (see timeline in Troop Guide). Troops are responsible to deposit sufficient funds to cover these debit, and will be responsible for any resulting non-sufficient funds (NSF) charges; signatories below agree to verify that troop funds are deposited into the bank account and available for withdrawal. Troop expressly authorizes GSGLA to repeat debits that fail for any reason. Troop agrees to work closely with GSGLA to pay all amounts due to Council in any manner agreed to by both parties. Troops understand that they may not participate in the Fall Product Program until ACH Debit Authorization is received by the Council. This authorization must be signed by two (2) authorized check signers for the troop.Signatory 1eSignature:* Date:* MM slash DD slash YYYY Position:* Leader Fall Chair Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email:* Enter Email Confirm Email Primary Phone:*Secondary Phone:Have you completed the Council Background Screening?* Yes No Signatory 2eSignature:* Date:* MM slash DD slash YYYY Position:* Leader Fall Chair Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email:* Enter Email Confirm Email Primary Phone:*Secondary Phone:Have you completed the Council Background Screening?* Yes No Captcha
