Request to Pay Vendor/Business or Individual

FORM # HCCF02
HCC Foundation

Payment of Approved Grants
The purpose of this form is to request funds from the Hillsdale Community Church Foundation to pay a grant or approved expense to a vendor/business or individual.
Date

MonthDayYear
Date
Submitted By:

First NameLast Name
Enter your email address. This email address will be notified after an action such as approval or denial of the request.
My Email Address
example@example.com
On behalf of Hillsdale Community Church, we request that you pay the sum of:
Numerical Amount
Written Amount (Example: One Thousand Five Hundred for 1,500)
Payable To:
For the Purpose Of: (Include short Grant Name from Grant Request Form)
Please upload copies of invoices/billing statements/etc.

Cancelof
Should be Empty:

HCC Foundation