Missing Claim Request Form

Please complete the form below to credit your MotorClub account for your recent visit.
Missing claims must be submitted within 30 days of the date printed on your receipt.

Missing Claim Request

If you paid by credit card, please enter the last 4 digits of the card used for payment.

Your guest receipt number is a 5 or 6-digit number located in the upper right hand corner of your guest check.

This must be the total charged including tax and tip. Remember, to earn a Qualified Visit, you must spend at least $15 BEFORE tax, tip, and discounts.

If you paid by credit card, please enter the last 4 digits of the card used for payment.

Your guest receipt number is a 5 or 6-digit number located in the upper right hand corner of your guest check.

This must be the total charged including tax and tip. Remember, to earn a Qualified Visit, you must spend at least $15 BEFORE tax, tip, and discounts.

En / Es

Missing Claim Request Form

Missing Claim Request

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