Check Request Form
Please fill out this form and click submit.
Requester Name
*
Phone
*
Email
*
This address will receive a confirmation email
Date check needed by
*
A minimum of 5-10 business days is required to process your request.
Make check payable to:
*
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Requested amount
*
Expense category
*
Please select one option.
Building Expense
Honorarium
Rental Expense
Merchandise
Missions
Vive Kids
Leadership Workshop
Benevolence
Select Option
Building Expense
Honorarium
Rental Expense
Merchandise
Missions
Vive Kids
Leadership Workshop
Benevolence
Detailed description or reason for request
*
If opting to receive funds via Zelle instead of check, please indicate below.
Please select one option.
Zelle
Check
List username, phone number, or email address associated with the selected method above.
Check the box below to indicate that you have received prior approval from Pastor Jonathan, Pastor Horacio, or the church treasurer to make this request.
*
Please select all that apply.
Yes, I have received prior approval.
Upload supporting documents here if not providing physical copies, if applicable:
Upload (8MB)
Note: If you are receiving money for services rendered totaling more than $600 per year from Vive City Chapel, you will need to fill out a
W-9
so that Vive City Chapel may issue you a 1099 at the end of the year. You may
access the W-9 Form here
.
Submit
Description
Please fill out this form and click submit.
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