Redeemer Delft Bank card form

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This field is for validation purposes and should be left unchanged.

Experimental form

This form is not official yet. For reimbursements please use another form.

Personal Information

Please give your name here in case we need to contact you.

Bank card payments

This form is only meant for submitting information on payments that were made with a church bank card. Fill out this form for one single payment. If you did multiple payments with the bank card, please fill out the form multiple times.
Short title for the expense.
Select one option for the goal of the expense.
Please upload a clear picture or PDF of the receipt of the expense made. You can upload one file
Accepted file types: png, jpg, jpeg, pdf, Max. file size: 128 MB.