XR Tower Hamlets: Payment Request

XR Tower Hamlets: Payment Request

Use this form to request reimbursement of expenses incurred for the activities of Extinction Rebellion Tower Hamlets. Please allow up to two weeks for payment, but get in touch with us if it is not received by then or if it is required more urgently. Please note that any requests should be pre-agreed by your budget holder
Your name*
Your email address*
example@example.com
Which working group is this for?*
Total amount requested £*
What was this used for?*
Who is the budget holder?*
Who is the payee?*
(name of person or company to be paid)
What is the payee's sort code?*
What is the payee's account number?*
Upload a receipt*

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GDPR Permission & Transparency*

I agree to XR Tower Hamlets using this information in relation to finance and transparency
Extinction Rebellion Tower Hamlets has a policy of transparency and openness. For payment requests, the requester's and payee's name(s), plus the amount and purpose of the payment will be publicly available. Bank details will not be made available. (GDPR=General Data Protection Regulation)
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