Councils Funding & Reimbursements
Please allow 7-10 business days for processing this request
Council Leader Completing this Form
*
First Name
Last Name
Council Name
*
Council Leader Email
*
example@example.com
What is the purpose of this request?
Reimburse a council leader
Make a payment to a vendor
Invoice a sponsor
Amount ($)
*
FOR REIMBURSEMENT REQUESTS
(Sponsor invoices and vendor payments skip down to sections below.)
If this is a reimbursement, please describe expense:
This council expense meets the following pillar of NWIR (check all that apply):
*
Networking
Education
Mentoring
Industry Recruitment
Upload a receipt scan (required for expense reimbursement)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
FOR SPONSORSHIP INVOICES
(Vendor payments skip down to section below.)
Sponsoring company name:
Full name of contact receiving invoice:
Please provide email address to send sponsor invoice to:
example@example.com
Please describe type of sponsorship (annual, specific event, etc.):
*
VENDOR PAYMENTS
Council is requesting a payment be made to an outside vendor, facility, etc.
If NWIR is paying a vendor, please choose method:
Sending a check to a vendor
Making an online payment
Calling vendor and paying with credit card
Name of Vendor or Business to be Paid:
If we are making online payment or calling the vendor to use credit card, please provide link or phone number below:
If we are reimbursing a council leader or paying vendor with check, make payable to
First Name
Last Name
Person/Vendor Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: