This form is for use by all third parties (Licensee) seeking permission from Girl Scouts of the USA ("GSUSA") to [check all that apply]:
(If you are seeking permission for a girl member to sell cookies, please contact your local council)
Describe the requested material in detail and the purpose of use
Material and Purpose of Use is required.
Provide details on the manner/form, expected length, location and/or medium of use. Include details such as the full title, edition, publication issue, description of publication, website, video, or other media, as applicable.