Declare my purchase

Fill out this form if you want to declare you purchase for INPUT.

  • Personal information

  • Purchases

  • If you have more than 2 items to declare, please fill in the 'More items' field with '/' between the information.
  • Total

  • Note: if you have more than one receipt, please put them into one document and upload them together.
  • * fields are required.

Contact

Study Association INPUT
Warandelaan 2, room T6.23
5037 AB Tilburg

013-4663008