PFC Purchase / Reimbursement Form
Full Name
*
First Name
Last Name
Purchase Category
*
Please Select
3BM
Administrative
Camp Expense
Christian Education
Core Team Expense
CTP, Operations
CTP, Road Trip
Design
Director Expense
Finance
Marketing
Program
Scholarships
Speaker Honoraria
Staff Expense
Transportation
Worship
Other
Vendor Name
*
Receipt Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2013
2012
2011
2010
2009
2008
Year
Receipt Amount
*
Will this be a recurring cost?
*
Please Select
No - One time only
Yes - Monthly
Yes - Annually
Yes - Other (please explain in Additional Details)
What was the method of payment used for this purchase?
Paid with Camp AMEX Plum credit card
Paid with Camp TD Bank debit card
Paid with Camp PayPal account
Paid with personal cash or card (reimbursable)
Paid with petty cash (at Camp only)
Requested Amount of Reimbursement (if necessary)
Please submit a photo/copy/PDF of the receipt by uploading it below. PLEASE NOTE THAT THE EMAIL OPTION FOR RECEIPTS HAS BEEN DISABLED.
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