Purchase Request

Purchase Request

Please submit prior to making any purchases on behalf of LOBC.
What is your name?*

First NameLast Name
What is your email address?*
example@example.com
Phone Number*
Please enter a valid phone number.
Is this expense for a specific purpose?*

Buildings and GroundsConferencesFellowshipJanitorial SuppliesKitchen SuppliesMinistryOffice SuppliesOutreach EventsNot sure
Which Ministry?

ARKAudio/VisualBenevolenceChildrenDiscipleshipGardenGospitalityMen'sMissionsMusicNurserySafetySunday ServicesWomen'sYoung AdultYouth
Which type of Outreach?

First ChristmasResurrection SundayTrunks and TreatsGeneral
Specific Item or Service*
Amount requested*
Approximately. Round up, if necessary.
Estimated dollar amount*
Include shipping. Round up, if necessary.
Specific notes/ conditions/ variables
Please upload a quote or screen shot of the item or service and its cost.

Cancelof
Preferred Vendor, if known

AmazonHome DepotGordon's Food SupplyOther:
Amazon link, if known
Home Depot link, if known
Website where purchase can be made
Does the vendor already have a copy of our sales tax exempt form (DR-14)?

YesNoNot sure
How will payment be made?*

Giving opportunity for membersVendor will invoice the churchI need a check from the churchThe church can pay onlineI will pay upfront and be reimbursedI have access to a church cardPlease have someone from the church make the purchaseI will buy and donate to the church
Member Giving Opportunity

Great idea! We will ask LOBC members to consider donating specifically towards this purchase. Only after sufficient funds have been given will the request be approved for purchase. There is no estimated time for the announcement or when funds become available.
Thank you!

Please leave a copy of the receipt in the Finance mailbox (along with your name) so we can include the value of your purchase in the true cost of program expenses.
Vendor name for check
Vendor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vendor Phone
Please enter a valid phone number.
Please confirm you understand that sales tax will be deducted from your reimbursement.

Yes, I understand I will not be reimbursed for sales tax
Should be Empty:

Purchase Request

Member Giving Opportunity

Thank you!