Acts 247 Reimbursement Form
Acts 247 will reimburse every Friday
Full Name *
This will be the name that Acts 247 will write the check out to (if applicable)
Your answer
Transaction Date *
MM
/
DD
/
YYYY
Reimbursement Amount ($) *
Dollars and cents
Your answer
Where did the money go? *
This will be a place or person
Your answer
Reason for the expense *
Please write a brief explanation to help a brother out
Your answer
Category expense(s) *
Give it your best shot
Required
Is there a receipt ? *
Required
Authorized by: *
In simple terms: who knew about this before it happened
Your answer
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