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SHIBUYA 2023 Contingency Claim Form
See
https://www.shibuya-archery.com/english/shibuya-contingency-program
for eligible competitions.
Payments will be made bi-yearly in January and July.
Claims must be made until Dec 31/ Jun 30 for the respective period.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Country/State
*
Your answer
Competition name and placement (see website for eligible competitions)
*
Your answer
SHIBUYA Equipment Used
*
ULTIMA RC PRO
ULTIMA CP PRO
ULTIMA RCIII
ULTIMA CPXIII
SHIBUYA Plunger
SHIBUYA APEX Tab
Other:
Required
Banking Information (Bank Name, Branch, Address, Beneficiary Name, Account Number)
*
Your answer
Bow used
*
Your answer
Stabilization used
*
Your answer
Aperture/Scope used
*
Your answer
Other equipment used
*
Your answer
Shop where you normally purchase your equipment
*
Your answer
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