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APF - Payment Request - SFA

Austin Parks Foundation is a paperless organization, and provides payment or reimbursement through a secure ACH process. Payment will be processed more quickly if the ACH payment form provided with your monthly SFA statement is submitted with this payment request, which can be attached as a supporting document below. Once we have ACH information for an individual or vendor, there is no need to re-submit this form for subsequent payments. If you have questions about ACH payments or filling out this payment request form, please contact sfa@austinparks.org.

Contact Information

Submitter's Name

First Name

Last Name

Submitter's Email

Verify Email

Phone

Affirmation

I affirm that I am a designated representative for my group's SFA and that this request is for a park/garden-related improvement, activation, good or service

Payment Information

Amount Requested

Please use full dollars and cents format, ex. XX.XX

Date Needed

(mm/dd/yyyy)

Attach Supporting Documents

ex: itemized receipt, invoice, completed ACH form, W9, etc.

Attach Supporting Documents

Payable To

Organization/Company/Individual

ATTN: (If Applicable)

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

What items/services were purchased?

Please provide a brief description of what this payment request is for

For Accounting Use Only