Qualified Receipt Submission Form
Name
*
First Name
Last Name
E-mail
*
Your E-mail Address
Date
*
-
Month
-
Day
Year
Today's Date
Team
*
Please Select
Admin
Baptism
Calvary Kids
Calvary Youth
Calvary Young Adults
Calvary Cares
Calvary Connections
Connect Groups
Elements
Facilities
First Steps
Media
Worship
Serve Team
Safety Team
Last Four Digits of Card Used
*
Event or Purpose
Please be as descriptive as possible.
Please list what was purchased, the date of purchase, and the amount of purchase.
Expense List
*
Description
Date
Amount
1
2
3
4
5
6
7
8
9
10
Total Cost
Receipt(s)
*
Browse Files
Drag and drop files here
Choose a file
Please attach all relevant receipts.
Cancel
of
Notes
I certify that all information entered above is valid and true.
*
Submit
Should be Empty: