Account

Please allow a minimum of 10 business days to process

Not for vendor invoicing

(used for Honorariums, cash advances, missions, etc)

Date: Name:

Phone Number:

Address: Tax ID #: (attach W-9, if services were provided)

Quantity

Description of Items to be Purchased

Dept/Account #

Unit Cost

Total Cost

Total Amount of Request $ Department:

Account Name/Number:

Request needed by date: Check Approved By (Dept. Head/Pastor):

Finance Approval