PHP Test Page

<%@ LANGUAGE="VBSCRIPT" %> PHP Test Page

New Hope Baptist Church

2855 Lake Helen Osteen Rd. Deltona, FL 32738

William L. Bradley, Senior Pastor

Requisition Form

Please Use (1) One For Each Request Required Fields (*)

Members First Name:*
Last Name:*
Email Address:*
Your Phone Number:*
Today's Date:*	dd/mmm/yyyy
Ministry Name:*
Amount Requesting:*
Reason For Check Request:*
Hold Check For Pick Up:*	YesNo
Make Check Payable To:*
Address/City/State/Zip:*
Phone Number of Company or Person Receiving Funds:*
	NOTE PLEASE DO NOT MAKE ANY PURCHASES WITHOUT PRIOR APPROVAL OF THE MINISTRY LEADER AND THE MINISTRY DIRECTOR PROCESSING OF CHECKS WILL TAKE(5) BUSINESS DAYS. Please submit Requisition request to the NHBC Finance Office by Fridays at 4:00 P.M. Checks are available in the Finance Office the following Friday from 8:00 A.M. - 4:00 P.M. ALL REQUIRED RECIEPTS MUST BE SUBMITTED PRIOR TO PAYMENT BEING MADE.

.