FLEX / YES – Activity Advance Request

Flex Yes – Activity Advance Request

Activity Advance Request

Local Coordinators may request funds in advance for enhancement activities. Requests must be accompanied by a completed Enhancement Activity Proposal form. Upon approval, up to 80% of the total activity budget will be sent to you directly from the Accounting Office. Please bear in mind that the processing time for the advance will be 10-15 days.

Local Coordinator Name(Required)

Address(Required)

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

Phone(Required)

Email(Required)

Total Budget for Activity(Required)

Advance Request Amount (maximum is 80% of total budget)(Required)

I understand that when submitting my expense report for this activity, I must deduct the advance from my total expenses and Greenheart will reimburse me any balance owed. Furthermore, I agree should I not spend the entire advance I will submit with my expense report, a check for any amount remaining to Greenheart. If no detailed expense report is submitted or I fail to submit repayment to Greenheart, Greenheart is authorized to deduct payment from any payments that may be due to me.

Please read and check to proceed(Required)

I verify that I have also submitted a completed Enhancement Activity Proposal Form

I verify that I have read the above and agree to the terms and conditions.