Item Description Budget Category Amount

TOTAL:

Purchase Method: Church Credit Card Invoice to Pay Personal (to be reimbursed)

Other ___________________________________________________________

Make Check Payable To:

Requested by: Date:

Approved by: Date:

Purchase Request

EMAIL – Use the email buttons provided below

to submit your form for approval. Be sure to

attach a scanned copy of your receipt ŀǎ ŀǎŜŎƻƴŘ ŀǘǘŀŎƘƳŜƴǘΦ

Print – This form can be filled in electronically

using your PC or Mac and printed, or it can be

printed and filled in by hand. Be sure to

attach a copy of your receipt when

submitting it for approval.