Daily Meditations Request for Payment Form

Daily Meditation Payment Request for Contributor

Thank you for being a part of our Daily Meditations Project. We are so grateful for your support and contributions! Please fill out the information requested below. A copy of this will be sent to Maribeth Harper for review and then it will be processed for payment. Thank you!

Please select one of the following:*
Name of Contributor*
Email Address of Contributor*
Who should the check be made payable to?*
Address for Mailing Check
Street Address Address Line 2 City State ZIP Code
What days are you requesting payment for?*

Please provide the date range you are requesting payment for on this form.
Number of meditations provided Quantity*
Price: $10.00
Please insert the number of days you are requesting payment for on this form.
Amount to be paid
$0.00
Number of days x $10/day
Please upload supporting documentation, such as your completed W9 if applicable.
Drop files here or

Max. file size: 50 MB.
For all contributors who are not a LC/CRC, please provide a copy of your W9 the first time you request payment. Once we have a copy of it, you will not need to submit this. Here is the link for w9: https://www.irs.gov/pub/irs-pdf/fw9.pdf
Optional: Is there any additional information you would like to share?
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Daily Meditations Request for Payment Form

Daily Meditation Payment Request for Contributor

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