Channel Reimbursement Form

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Channel Reimbursement Form
Reimbursement form will be sent to the point person for approval if requested by others. Please bring it to Council's attention for item amount over $300. Email finance team with any questions.
Requested By*

First NameLast Name
Email*
Church*

Item 1
Item 1 Amount $
Item 1 Description*
Item 1 Receipt

Upload
(Maximum upload file size: 5MB) Cancelof

Item 2
Item 2 Amount $
Item 2 Description*
Item 2 Receipt

Upload
(Maximum upload file size: 5MB) Cancelof

Item 3
Item 3 Amount $
Item 3 Description*
Item 3 Receipt

Upload
(Maximum upload file size: 5MB) Cancelof

Item 4
Item 4 Amount $
Item 4 Description*
Item 4 Receipt

Upload
(Maximum upload file size: 5MB) Cancelof

Item 5
Item 5 Amount $
Item 5 Description*
Item 5 Receipt

Upload
(Maximum upload file size: 5MB) Cancelof

Total
Pay to the order of*

First NameLast Name
Same as requester
Total Amount $

Approver
Approver
Approver's Email
Finance's Email
Should be Empty: