Reimbursement(s) / Payment Request(s) Reimbursements Your name*Your email address* Make check payable to*How do you wish to receive payment?*Pick check up from CBTMail checkMail check to this address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date by which check is due Date Format: MM slash DD slash YYYY Name of person who needs to authorize expenditure*Email address for who needs to approve expenditureBoard-Secretary@congregationbethtorah.orgExecutive-VP@congregationbethtorah.orgDevelopment-VP@congregationbethtorah.orgFinancial-VP@congregationbethtorah.orgLC-Office@congregationbethtorah.orgMens_Club@congregationbethtorah.orgPresident@congregationbethtorah.orgRitual-VP@congregationbethtorah.orgSisterhood@congregationbethtorah.orgTreasurer@congregationbethtorah.orgDate of Expenditure* Date Format: MM slash DD slash YYYY (Date of vendor invoice or receipt)Date Recieved Date Format: MM slash DD slash YYYY (To be completed by Bookkeeping Office)Most commonly used codes. If you do not see an appropriate code for your submission, please call the synagogue for assistance (972.234.1542 x262 or 221). Missing codes may result in the submission being returned for correction. 4 Digit Account Codes 6050 Repairs & Maintenance 6405 Advertising & Publicity 6415 Books 6475 Supplies 6805 Food 3 Digit Department Codes 090 Administration 100 Adult Education 170 Learning Center 190 Rabbinical 200 RitualG/L Account, Amount(s) & Department(s)*4 Digit Account CodeAmount3 Digit Dept. Code Total amount to be reimbursed*Scanned receipt(s) or invoice(s)* Drop files here or Accepted file types: pdf, jpg, png, tiff, gif. Order confirmations are not accepted.Reason for payment / Comments / DetailsNameThis field is for validation purposes and should be left unchanged.