YI Stamford Payment Request Form
Please use this to request payment for a vendor or personal reimbursement.
Your Name
First Name and Last Name
Your answer
Name of Payee
Whom should the check be made out to?
Your answer
Address of Payee
If you prefer to pick up the check, please say so here, and make arrangements to come get it. It is MUCH PREFERRED to have the check mailed.
Your answer
Reason for Payment
What is this payment for?
Your answer
Amount
How much should we pay? (Do not include the '$' sign)
Your answer
Payment Date
When is the payment due?
MM
/
DD
/
YYYY
Please send scans/photos of receipts and invoices to yistreasurer@gmail.com or leave in the treasurer's box in shul.
We can't cut checks without invoices/receipts that match this payment request!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms