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.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Date of Purchase	Item Description	Amount