*Date of Submission:
*Date check is needed by:
*Check Issued to: (Make check payable to)
Mailing Address of Recipient:
*Total amount of check: $
*Title / Ministry:
Please make sure you have receipts / invoices available with a circle around the amount . Note on each receipt the fund or event associated or the item purchased is for.
This form needs to be approved by Pastoral Staff prior to submission; at least one week in advance of the date needed.
*Description of expense:
*Individual Submitting Request:
*Email of Submitter:
Enter the text shown in the image above.