Burke UMC - Reimbursement/Credit Card Form

ABOUT YOU

Name of person making purchase

If reimbursement, please put name and address of person receiving check in the fields below:

First Name

Last Name

Address

Email of person submitting this form (in case we need to get in touch with any questions about your purchase!)

ABOUT YOUR PURCHASE

Date of Purchase:

Name of business purchase was made at

Amount of Purchase

Purpose of Purchase

Anything else our office manager should know about your purchase?

ABOUT YOUR MINISTRY AREA

Please choose the line item below that your purchase falls into under the expense category above. If you aren't sure what your purchase qualifies as, please explain in the box below and Julie will reach out if she has questions.

If purchase falls into the "other" or "unsure" category, please explain here:

ALMOST DONE...

Please attach a copy of your receipt here! If you took a picture of your receipt (with your phone works great), use the box on the left. If you downloaded your receipt as a PDF from your computer, use the box on the right.

Photo Receipt Uploads

PDF Receipt Uploads