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Fund Disbursement Request Form
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mike.urmie@gci.org
.
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Check #
You are submitting:
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Receipts for reimbursement
Invoice for vendor payment
Receipts from GCSH payment
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.
Date Submitted
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Requested By
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First
Last
Email
*
Phone
Date Needed
Ministry Avenue
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Select One
Faith Avenue
Hope Avenue
Love Avenue
Support Team
Regional
Hope Avenue Ministry
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Select which ministry
GC Surrey Kids - Pre-K
GC Surrey Kids - Elementary
Integration
Worship
Other
Category - Integration Ministry Team
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Select which team
First Impressions Team
Ushering Team
Follow-up Team
Hospitality Team
Capital Expenditure
Category - Worship
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Select category
Equipping (conferences, training, etc.)
Supplies (band, lyric sheets, etc.)
CD Ministry (production & shipping)
Communion
Technical
A/V Licensing (EasyWorship, CCLI, etc.)
Speaking (visuals, props, etc.)
Capital Expenditure
Other
Category - GC Surrey Kids
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Select category
Curriculum
Supplies
Snacks
Event/Activity
Capital Expenditure
Explanation of expense
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Faith Avenue Ministry
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Select which ministry
Konnect Groups
Seniors/Shut-ins
Next Steps
Other
Category - Konnect Groups
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Select category
Teens
Young Adults
Resources
Supplies
Other
Category - Faith Other
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Select category
Equipping (Training, Conferences, etc.)
Events (KG Launch, Facilitator meetings, etc.)
Capital Expenditure
Other
Other - Faith
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Love Avenue Ministry
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Select which ministry
Community Events
Sponsorship Events
Camp Surrey
Outreach
Good Neighbor
Capital Expenditure
Other
Category - Camp Surrey
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Select category
Facility Rental
Food/Snacks
Activities
Supplies
Administration
Capital Expenditure
Other
Region Directed
Expense Explanation - Camp Surrey
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Expense Explanation - Region Directed Camp Surrey Funds
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Category - Community Events
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Select category
Water Balloon Battle
Easter Egg Hunt
Other
Category - Sponsorship Events
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Select category
Trunk N Treat
Surrey Christmas Parade
Other
Category - Outreach
*
Select category
Door-to-door
Service Project
Crossing Borders Shoebox
Other
Other - Love
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Support Ministry
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Select which ministry
Finance Team
Communications
Admin Services
Facilities - Surrey
Facilities - Studio (Richland)
Congregational Gifts
Pastor's Expenses
Church Planting
Capital Expenditure
Other
Category - Finance Team
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Select category
Bank service charges & supplies
Software (Quicken, Quickbooks, etc.)
Outside Services
Other
Category - Communications
*
Select category
Website
Creative Team
Marketing
Other
Category - Communications Marketing
*
Select category
Print (Postcards, letterheads, etc.)
Apparel (Blanks, screenprinting, etc.)
Other
Category - Admin Services
*
Select category
Planning Center
Membership Fees
Office Supplies & Equipment
Postal Services
Professional Fees
Books and Teaching Materials
Other
Category - Facilities - Surrey
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Select category
Maintenance
Repairs
Capital Expenditure
Other
Category - Facilities - Studio - Richland
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Select category
Maintenance
Repairs
Capital Expenditure
Other
Category - Facilities - Maintenance
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Select category
Custodial
Landscaping
Security
Exterminator
Building Automation (Fire)
Air Conditioning
Other
Category - Congregational Gifts
*
Select category
Funerals
Honorarium - Special meetings
Other
Category - Pastor's Expenses
*
Select category
Conferences and Meetings
Continuing Education
Office Supplies
Capital Expenditure
Other
Category - Pastor's Expenses Conferences and Meetings
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Select category
Leadership Summit
Vision Team Retreat
Hotel, meals, & gas
Other
Expense Explanation - Finance
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Expense Explanation - Communications
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Expense Explanation - Admin Services
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Expense Explanation - Facilities
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Expense Explanation - Congregational Gifts
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Expense Explanation - Pastor's Expenses
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Expense Explanation - Church planting, Capital Exp, Other
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Category - Regional
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Select category
Ministry Training Center (MTC)
CMM
Seminary
General
Camp
Other
Expense Explanation - Regional
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Category - MTC
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Select category
Pastoral Resident - Education (GCS)
Pastoral Resident - Conferences/Meetings
Ministerial Intern - Education
Ministerial Intern - Conferences/Meetings
Meals
Training Content
Workshops, meetings, etc.
Capital Expenditure
Other
GCSH Directed
Expense Explanation - MTC
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Expense Explanation - GCSH Directed MTC Funds
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Receipt Information
How many receipts are you submitting under this specific expense?
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PLEASE NOTE: If submitting multiple receipts, it must be the exact Avenue, Category, AND Explanation.
Vendor Name #1
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Receipt Amount #1
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Vendor Name #2
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Receipt Amount #2
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Vendor Name #3
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Receipt Amount #3
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Vendor Name #4
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Receipt Amount #4
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Vendor Name #5
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Receipt Amount #5
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Vendor Name #6
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Receipt Amount #6
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Vendor Name #7
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Receipt Amount #7
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Vendor Name #8
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Receipt Amount #8
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Vendor Name #9
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Receipt Amount #9
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Vendor Name #10
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Receipt Amount #10
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Invoice Information
Vendor Name #6 (copy)
*
Contact Name
*
Vendor Phone
Vendor Mailing Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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.
Email
Submit