Faith Deliverance Worship Center

1304 Route 130 North

Burlington Township, New Jersey 08016

Requisition Form

(Print or type, and attach all receipts. There will be no exceptions!)

Requested By:

Requested Ministry:

Funds are needed by:

Ministry account to be charged:

Name of Vendor:

Address:

City:

State:

Zip:

Telephone Number:

Fax:

QUANTITY	DESCRIPTION (CATALOG #, SPEAKER, EVENT, ETC.)	COST OF ITEM










	TOTAL

REMARKS:

1304 Route 130 North

Burlington Township, New Jersey 08016

OFFICAL SIGNATURES:

Person Requesting:

Ministry Leader:

Administrator:

DO NOT WRITE BELOW THIS LINE

TO BE COMPLETED BY ADMINISTRIVE STAFF

Approved Approved with following exceptions: Disapproved because:

TREASURER’S SIGNATURE:

DATE:

CHECK NUMBER USED:

DATE:

TOTAL AMOUNT: