Member Access Portal - Faith Baptist Church

Name of Person / Company to Pay*
Address / Where to Send Payment
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Requestor's Name*
Request Date*
MM slash DD slash YYYY
Requestor's Phone Number*
Requestor's Email*
Reason for Expense*
Expense Details*
Click the plus sign on the far right to add multiple rows of expenses that are within the same budget category.
Date of Purchase Item Description Amount
Budget Category*
Please submit separate forms for different or multiple budget categories.
Other Budget Category*
Please list Budget Category Name and Budget Number, if possible
If you have a receipt, please attach it here.
Drop files here or

Max. file size: 15 MB, Max. files: 3.
Your email submission will automatically be sent to (3) three places:
1. The Faith Baptist Treasurer, for review and payment processing
2. The Team Leader for the Budget Category you chose, for their records
3. You, for your records
Password*
Contact the church for this password if you don't have it. You will not be able to submit this Reimbursement form without it.
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Comments
This field is for validation purposes and should be left unchanged.

Date of Purchase	Item Description	Amount