TCEMF Reimbursement Form Your name Your email Name of Payee Total Amount claimed (tax included) Preferred Method of Payment E-transferPaypalCheque Payment Address For E-transfer or Paypal, please enter email address. For Cheque, please enter mailing address. ------------------------------------------------------------------------ Item 1 Description Item 1 Amount (tax included) Item 1 Department —Please choose an option—ChairESCMEvangelismFinanceMembers RelationshipRevival MeetingSecretary ------------------------------------------------------------------------ Item 2 Description Item 2 Amount (tax included) Item 2 Department —Please choose an option—ChairESCMEvangelismFinanceMembers RelationshipRevival MeetingSecretary ------------------------------------------------------------------------ Item 3 Description Item 3 Amount (tax included) Item 3 Department —Please choose an option—ChairESCMEvangelismFinanceMembers RelationshipRevival MeetingSecretary ------------------------------------------------------------------------ Item 4 Description Item 4 Amount (tax included) Item 4 Department —Please choose an option—ChairESCMEvangelismFinanceMembers RelationshipRevival MeetingSecretary ------------------------------------------------------------------------ Item 5 Description Item 5 Amount (tax included) Item 5 Department —Please choose an option—ChairESCMEvangelismFinanceMembers RelationshipRevival MeetingSecretary ------------------------------------------------------------------------ Receipt uploads (up to 5 receipts) ------------------------------------------------------------------------ Δ Share this:Click to email a link to a friend (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)
