Reimbursement Submission Form

All reimbursements must be submitted by the 30th/31st of the month in order to receive reimbursement.

First Name*

Last Name*

Email*

Phone

Ministry Department

If your not sure what ministry then write "General"

Date of Expense*

Description of Expense

Amount Requested*

Please Note: Amount of expense must match amount of Receipts

Please Select the Following:*

Reimbursement

Donation

Please Upload a copy of your Reciept: Upload a file or drag and drop. jpg, jpeg, jpe, png, pdf up to 10MB

Pastoral Staff

Pastor: Jesse Pinheiro
Assistant Pastor: Terry Dworaczyk
Minister: Bernard Bonham

Address

105 South Broadway Street
Santa Maria, CA 93455
(Located in Old Town Orcutt)

Phone: 805.937.6536

Service Times

Sunday - 9:00am
Sunday - 11:00am
Wednesday - 7:30pm

About Revival Tabernacle

Revival Tabernacle is located in Santa Maria, CA. We are an Apostolic Pentecostal Church (UPCI).