Ultimaas reimbursement program.
To be eligible for a reimbursement:
- Your drive had to be to or from a competition day.
- You had at least 1 other person in your car.
- It should not have been feasible for you and your passenger(s) to join somebody else's car.
Reimbursements will be calculated based on distance from where you came from to where you drove.
We aim to reimburse you within a week after filling in this form.
What is your name?
What is your IBAN?
(e.g. NL40 RABO 0192 0859 13)
Which competition day did you drive for?
(e.g. Indoor competition 4)
Where did you drive from?
Where did you drive to?
Which way did you drive?
There and back
How many other people did you drive?
If you have any other remarks or a funny joke, you can leave them in the box below.
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