Unit Popcorn Payment

Unit Popcorn Payment179chuck2025-04-11T11:29:34-04:00

2025 Unit Popcorn Payment Form

"(REQUIRED)" indicates required fields

UNIT INFORMATION

UNIT TYPE(REQUIRED)

UNIT NUMBER(REQUIRED)

DISTRICT(REQUIRED)

UNIT CONTACT

Name(REQUIRED)

First Last

Phone(REQUIRED)

Email(REQUIRED)

PAYMENT INFORMATION

Acceptable forms of payment are:

Check (ACH)
Credit / Debit Card (processing fees apply)

PAYMENT METHOD(REQUIRED)

POPCORN PAYMENT AMOUNT(REQUIRED)

CREDIT / DEBIT CARD PROCESSING FEE

Price: $0.00

SUBTOTAL

Total

CHECKING / SAVINGS ACCOUNT (ACH)(REQUIRED)

Account Number Account Type Routing Number Account Holder Name

CREDIT / DEBIT CARD(REQUIRED)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address(REQUIRED)

Address associated with the card/account

Street Address Address Line 2 City State ZIP Code

About

Corporate Headquarters
14258 Michigan Street
PO Box 129
Eagle, MI 48822
(517) 940-4210
communications@michiganscouting.org

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