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CHECK REQUEST FORM
Date Requested
Amount Requested
$
Description of Expense (describe what the expense is for, how it will be used, etc.)
Invoice and Purchase Request Attached?
Yes
No
Mail
Mailing Address:
Check Payable To:
Check Handling Instructions
Pick-up
Instructions:
Phone
Requester’s Name Email
Ministry/Event Department Department Head Signature Amount Approved
Check No.
Please allow two week for processing of all check requests. Checks may only be picked up from the Church office during business hours.
Check Request | 170216