Pilgrim Baptist Church Check Requisition: Please allow one week for payment.Please enable JavaScript in your browser to complete this form.Today's Date and Date Check is NeededCheck Type of payment below:AdvanceReimbursementPaymentHonorariumMinistry Account NumberEstimated Cost (Advance)Tax DiscountsAmount RequestedRequest made byMake Check Payable ToAddress, City, State, Zip CodeProvide only if payment type is a honorariumSpeaker is not incorporated: Social Security NumberSpeaker is incorporated: Federal Tax ID #Reason for Request (*) *Requestor Signature (*)Ministry Chair Signature (*)Check Signer Signature 1 (*)Check Signer Signature 2Additional Information(*) Items must be completed.Use your browser to print form.
