CKM Speakers + WorshipCheck Request Payable To: * Mailed or Hand Delivered? Mailed Hand-Delivered Mailing Address (if needed) What Budget Category is this coming out of? * If you know the exact account (ie Speakers Expense), please list. If not, simply share how this money will be spent and Justin will determine the account. Name & Date of Event * List the event name & event date (mm/dd/yy) Honorarium Amount * List honorarium breakdown. If this doesn't apply, list N/A. Travel Reimbursement Amount * List all travel reimbursement information. If none, list N/A or $0. Total Amount * Total the honorarium needing to be paid & any travel expenses needing reimbursement. Additional Information Note any breakdowns, instructions, or further details here. Signature: * Thank you!
