Girl Scouts of Kentuckiana Shop Order Form

Use this form to purchase everything needed for your Girl Scout experience, including Girl Scout merchandise, badges, fun patches, Patch of the Month, uniform essentials, and more!

Take advantage of COMPLIMENTARY SHIPPING on all orders or pick up at the Louisville Shop. A GSK Retail Specialist will call to confirm your order. Thank you for your patience—we are working hard to complete your orders in a timely manner!

Please tell us what you would like to purchase by listing the items and information required in the Shopping Cart. Use the links below to browse available items:

Girl Scouts Official Online Store: https://www.girlscoutshop.com/

Fun Patches and Pins: https://www.advantageemblem.com/products/Stock-Patches-Pin.asp

Questions? Contact Angela Jones, GSK Retail Specialist: 502-716-7232

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Troop #*

Shopping Cart*

Please provide the item name, item number, quantity and size if applicable.

Please select how you would like to receive your order.*

Please select how we should contact you about your order. *

Shipment Details

Ship my items as inventory available (could result in multiple shipments to your address)Pick up at Louisville Shop during business hours

Paying with Card? You may enter card information below for payment. JotForm is a secure platform, however if you prefer to give your information to a staff member over the phone, please indicate that below in the Questions or Comments section, and we will call you to process payment.

Shop Discount Code

Name as it appears on the card

Card number (FIRST 8 DIGITS ONLY)

Card number (REMAINING DIGITS)

CVV

Expiration date

mm/yy

Paying with Kentuckiana Credits? Please list all Kentuckiana Credit cards being used with the following information Name on card, card number, CVV if applicable and amount you want deducted from the card. Please note we cannot give cash back or refund card balances to a credit card. If a partial amount is used then the remaining credit will be available on the same card number.

Enter Kentuckiana Credits Information Here

Questions or Comments?

Have you renewed your GSK membership for 2025?

YesNo

Would you like to be contacted for help with membership renewal?

YesNo

Shop Order Form

Order Information

Payment Information