Fund Disbursement Request Form – Grace Communion Surrey Hills

Fund Disbursement Request Form

Ensure that you have all the necessary information to complete the form. If you exit out of the form, your progress will be lost. If you have any questions or see an error in categories, contact mike.urmie@gci.org.

Check #

You are submitting: *

ATTENTION!

Selecting this option means the purchase was made by an authorized form of payment from GC Surrey Hills (bank card, check, credit card, etc.). If this was NOT purchased with an authorized church payment method, please change the option above.

ATTENTION!

Selecting this option means you are submitting an invoice you received from a vendor for payment. Only authorized staff (paid or volunteer) are able to select this option. The services rendered must be an approved expense from either the Avenue Leader or a member of the Pastoral Team. If this was NOT approved/authorized by an Avenue Leader or Pastoral Team member, contact such leader or select a different option above.

Requested By *

First

Last

Date Submitted *

Email *

Phone

Ministry Avenue *

Hope Avenue Ministry *

Category - GC Surrey Kids *

Category - First Impressions *

Category - Hospitality *

Category - Worship *

Explanation of expense *

Faith Avenue Ministry *

Category - Connect Groups *

Category - Member Care *

Explanation of expense *

Love Avenue Ministry *

Category - Camp Surrey *

Category - Good Neighbor Fund *

Category - Neighborhood Events *

Category - Team Supplies, Meals, Meetings *

Expense Explanation *

Pastor's Expenses *

Category - Conferences and Meetings *

Expense Explanation - Pastor's Expenses *

Support Team *

Category - Admin Services *

Expense Explanation - Admin Services *

Category - Communications *

Expense Explanation - Communications *

Category - Facilities *

Expense Explanation - Facilities *

Category - Utilities *

Category - Finance Team *

Expense Explanation - Finance *

Category - Ministry Training Center *

Category - Ministry Intern *

Category - MTC Coordinator *

Category - Pastoral Resident *

Expense Explanation - Regional *

Expense Explanation - MTC *

Expense Explanation - GCSH Directed MTC Funds *

Category - Church Life Events (Launch, Mingles, Socials, Showers) *

Receipt Information

How many receipts are you submitting under this specific expense? *

PLEASE NOTE: If submitting multiple receipts, it must be the exact Avenue, Category, AND Explanation.

Vendor Name #1 *

Receipt Amount #1 *

Vendor Name #2 *

Receipt Amount #2 *

Vendor Name #3 *

Receipt Amount #3 *

Vendor Name #4 *

Receipt Amount #4 *

Vendor Name #5 *

Receipt Amount #5 *

Vendor Name #6 *

Receipt Amount #6 *

Vendor Name #7 *

Receipt Amount #7 *

Vendor Name #8 *

Receipt Amount #8 *

Vendor Name #9 *

Receipt Amount #9 *

Vendor Name #10 *

Receipt Amount #10 *

Invoice Information

Vendor Name #6 (copy) *

Contact Name *

Vendor Phone

Vendor Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Invoice Amount #6 *

Total

$0.00

Receipt Upload *

Click or drag files to this area to upload. You can upload up to 10 files.

NOTE: Upload all receipts that are being requested above.

Website

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