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smallcircle Transfer Request Form
Instructions: Please complete all the information using the following form when making a financial request to smallcircle. All requests must be submitted at least TWO WEEKS prior to the funds being needed. If submitted less than two weeks prior to the funds being needed, we will do our best to accommodate your request, but we cannot guarantee that the requested funds will arrive within the time that you need them.
Today's Date
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Month
-
Day
Year
Date
Full Name of Person Completing This Request
*
First Name
Last Name
Location of Person Completing This Request (City, State/Province, Country)
*
Type of Currency
*
Please let us know what form of currency you would prefer that we send your request in, typing out the full name of the currency (Example: South African Rand). Choosing your local currency allows for a higher likelihood of receiving close to the exact amount of your request, due to avoiding the exchange rate, which is always subject to change. Choosing your local currency also allows for smallcircle to reduce exchange rate fees incurred with international transfers.
Date When Funds Are Needed
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Month
-
Day
Year
If the date listed here is less than two weeks from today's date, please note that we will try to accommodate your request, but cannot guarantee that your request will arrive when needed.
Will the funds from this request be sent to the person completing this form (named above), or to someone else?
*
Myself, the person named above
Someone else
Full Name of Person Receiving Funds (not the person named above)
First Name
Last Name
Please select which type of request you would like to begin with. After completing one request type, you will have the opportunity to complete another type.
*
General Request (any request that does NOT include printing)
Printing Request
What size General Request Sheet will you need in order to provide all the details for your request?
Small - 20 lines or less
Large - 100 lines or less
Back
Next
Printing Request Sheet
Please let us know which book you would like to print in the first column, with one book per line. For example, to print Next Disciple and Disciplemaker, use one line for Next Disciple and one line for Next Disciplemaker. Please indicate which language you need to print. If you need to print the same book in multiple languages, please use a separate line for each language. Please indicate the number of copies needed for that book. Please indicate the cost to print one copy in the currency you selected on the first page of this form. The total cost will be calculated automatically.
Total
*
Please type in the final amount, as seen in the bottom right corner of spreadsheet above.
Do you need to complete a General Request Sheet?
*
Yes
No
I've already completed one
What size General Request Sheet will you need in order to provide all the details for your request?
Small - 20 lines or less
Large - 100 lines or less
Back
Next
General Request Sheet - Small
Being as detailed as possible, please include a full list of items included in your request. For trainings and travel, please list all associated expenses for these items, i.e. airfare, car rental, room rental, meals, etc. Please also include the number of people being paid for these expenses and the dates associated with these expenses. For printing, please complete a separate Printing Request Sheet, on the next page. Do not include printing request information here. Totals for each row will be calculated automatically.
Total
*
Please type in the final amount, as seen in the bottom right corner of spreadsheet above.
Do you need to complete Printing Request Sheet?
*
Yes
No
I've already completed one
Back
Next
General Request Sheet - Large
Being as detailed as possible, please include a full list of items included in your request. For trainings and travel, please list all associated expenses for these items, i.e. airfare, car rental, room rental, meals, etc. Please also include the number of people being paid for these expenses and the dates associated with these expenses. For printing, please complete a separate Printing Request Sheet, on the next page. Do not include printing request information here. Totals for each row will be calculated automatically.
Total
*
Please type in the final amount, as seen in the bottom right corner of spreadsheet above.
Do you need to complete Printing Request Sheet?
*
Yes
No
I've already completed one
Back
Next
Final Total
Your final total as been automatically calculated below. Please check your own calculations against the final total listed below to ensure that all calculations are correct. Please make sure that calculations were made using the form of currency indicated on the first page of this form. Please remember that you must allow at least two weeks for transfers to be processed.
Final Total From All Sheets
Does this final amount match your calculations? Please check all calculations thoroughly before submitting.
Submit
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