Rising Hope Church Reimbursement Form
Thank you for completing this form, we will do our best to reimburse you promptly. Reimbursement will be sent in the form of check, PayPal or Zelle. If you have any questions, please contact Chris Bright, chrisbrightbooks@gmail.com or 765-760-4713.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Reimbursement Type (please check one)
*
Zelle QuickPay
PayPal
Check
Please provide your cell phone or email account to send the Zelle payment to
*
Email address associated with your PayPal account
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list receipts
*
Upload copies of all receipts
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