Excel Event Reimbursement/Payment Request

Excel Event Reimbursement/Payment Request
All submissions require approval from Excel – Submission does not assume approval.

Please make sure receipts are legible and show date, location and total amount.

If you are not sure if an expense will be approved, you may contact Luke Allen at reimburesments@excelnetwork.org
Your Name*

First NameLast Name
Your Church/Organization*
Who gets reimbursed?*

Make Check Payable to Name AboveMake Check Payable to Church/Organization Above
Email*
example@example.com
Phone Number*

Area CodePhone Number
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reimbursement Details
What Network are you with?*

TM (If TM, Please contact them)NABExcelExcel Staff/AdminOther
Type of Reimbursement Request*
Event Name*
Date of Event*

MonthDayYear
Date
Location of Event (City, State)*

Reimbursement Itemized Request