PAYMENT FORM

Payments and Reimbursement Form InCube

If you have any questions, please contact finance@entrepreneur-club.org
Your First Name *
Your Last Name *
Your Email *
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Amount *
Please refrain from using commas as money separators.
Currency *

CHF EUR USD Other
VAT (%) on receipt *
Did you already create an account? (Do we know your bank details?) *

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Personal Details
Street address and number *
City *
Postal / Zip Code *
Country *
Bank Account Details
Bank name *
Street address and number of your bank (the branch you frequent or headquarter) *
City your bank is in (the branch you frequent or headquarter) *
Zip code (the branch you frequent or headquarter) *
Country of your bank *
Account currency *
IBAN (no spaces) *
Repeat IBAN *
Entered IBAN is not identical!
Accounting Data
Account *
If "other" please describe below
What term is this payment relevant to? *
Short description of expense *

0/400
Upload your receipts/invoice (max. 5 Mb) *

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Please merge requests that fall under the same sub-account. You can use a PDF merger for your receipts: https://smallpdf.com/merge-pdf.
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Payments and Reimbursement Form InCube

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Personal Details

Bank Account Details

Accounting Data