For use by Ministry Teams in requesting reimbursement or compensation for requested services (speakers, etc.)
Date of Request
Make Check Payable to:
Name of Team Requesting Payment
Adult Religious Exploration
Your Name (Team Member)
Speaker Name or Business Name
Amount of Check (total of receipts or payment)
Disposition of Check (Mail to:, put in box for)
A copy of your responses will be emailed to the address you provided.
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