Your Name: * Your Email: *
Date: *
Committee or Ministry Team: *
I am requesting you to PurchaseRemit payment for the following approved expenses (include item & item number if applicable, where to purchase, and $ amount for each item listed): *
Please make the check payable to: Mail check to (include name and street address):
Please attach supporting documentation (receipt, invoice, statement, time sheet):
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Hit Send to submit this form to the Church Financial Secretary.