Please complete the following forms to submit a payment authorization. For questions contact [email protected].

Greensboro Beautiful - Request for Payment/Reimbursement Form

Requested by:(Required)

First Last

Phone Number(Required)

Payee(Required)

Vendor Name (If Different From Payee)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Invoice(Required)

Invoice Number

Program area/Garden/ Event(Required)

Invoice/Receipt Amount ($)(Required)

Expenditure Description(Required)

Upload all legible receipts:

Max. file size: 128 MB.

Additional files

Max. file size: 128 MB.

By typing my name below, I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement. Name of Authorization and Approval:

Greensboro Beautiful - Request for Payment/Reimbursement Form

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