Voucher Request Form | Christian Unity Baptist Church

Name (Required)

Email Address (Required)

Today's date

Ministry Name (Required)

Purpose of the request (Required)

Please identify the purpose of the request and/or if this a reimbursement.

Check(s)/Payment needed by: (Required)

List the description, quantity and total for all items. Include any web links or purchase account information. (Required)

Example: 30 Balloons for decorations, $100, www.decorations.com/mycart

If it can be paid online, provide web address, username, password, non profit or discount code(s)

Example: www.fakevoucher.com, username: Fakeuser, password:FakePassword, Discount code:FakeDiscount2

Do your require multiple checks/payees ? (Required)

If you only require payment for 1 vendor/payee only fill out fields for Payee 1. If you require multiple payees please complete the rest of the form as needed

Vendor/Payee 1 name (Required)

Include Zelle ID if payment will be rendered via zelle

Vendor/ Payee 1 total payment amount (Required)

Total amount to be paid to this vendor/payee only

Vendor/Payee 1 phone number

Delivery Address

Delivery instructions (Required)

Vendor/Payee 2 name

Include Zelle ID if payment will be rendered via zelle

Vendor/Payee 2 total payment amount

Total amount to be paid to this vendor/payee only

Vendor/Payee 2 phone number

Payee 2 delivery address

Delivery Instruction:

Hold check at the church

Deliver check to above address

Pay via web/app (Zelle or direct deposit only)

Vendor/Payee 3 name

Include Zelle ID if payment will be rendered via zelle

Vendor/Payee 3 total payment amount

Total amount to be paid to this vendor/payee only

Vendor/Payee 3 phone number

Vendor/Payee 3 delivery address

Delivery Instructions

Hold check at the church

Deliver check to the above address

Pay via web/app (Zelle or direct deposit only)

Vendor/Payee 4 name

Include Zelle ID if payment will be rendered via zelle

Vendor/Payee 4 total payment amount

Total amount to be paid to this vendor/payee only

Vendor/Payee 4 phone number

Payee 4 delivery address

Delivery instructions

Hold at the church

Deliver to above address

Pay via web/app (Zelle/direct deposit only)