PAYMENT SELECTION Sample Clauses

PAYMENT SELECTION. Please select one of the following payment options, which will be used should you be eligible to receive a Settlement payment: Venmo - Enter the mobile number associated with your Venmo account Mobile Number: - - or Email Address:
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PAYMENT SELECTION. Please select one of the following payment options, which will be used should you be eligible to receive a settlement payment: Mobile Number: - - or Email Address:
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PAYMENT SELECTION. Please select from one of the following payment options: Venmo - Enter the mobile number associated with your Venmo account: - Mobile Number: - - or Email Address: Signature Printed Name Date
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PAYMENT SELECTION. PayPal Venmo Zelle Virtual Prepaid Card Check Please provide the email address or phone number associated with your PayPal, Venmo or Zelle account, or email address for the Virtual Prepaid card: Signature: Printed Name: Date: _/ _/ _ 2:A2p4ro-pcovse-d0s0et1tle4m6e-nJt hAasWbeenDreaoccheudmin ethne ltaw7s0ui-t1In re:FBielreryd, Du1n2n,/M0c4N/e2il4ł ParPkear Dgaeta 4Se8cuoritfy I6nc3identPLitaiggateionID, # Case No. 2:24-cv-00146-JAW (D. Me.), relating to an incident discovered on September 14, 2023, in which an unauthorized third party potentially gained access to Settlement Class Members’ Private Information (“Data Security Incident”). Defendants deny all claims alleged against them and deny all charges of wrongdoing or liability. The settlement is not an admission of wrongdoing or an indication that the Defendants violated any laws, but the resolution of disputed claims.
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PAYMENT SELECTION. Please select one of the following payment options: PayPal - Enter your PayPal email address: _ Mobile Number: - - or Email Address: Virtual Prepaid Card - Enter your email address: Physical Check - Payment will be mailed to the address provided in Section I above.
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PAYMENT SELECTION. The standard Student Laptop protection plan is $25.00 per school year. This amount is reduced for students who requested additional benefits through the free/reduced application. ❏ Standard Payment: $25 full year or $12.50 if student is enrolled Semester 2 only. No refunds will be given. Free/Reduced Additional Benefit: If you were eligible for additional free/reduced benefits in June 2020 and/or submitted a new application and requested additional benefits for the current year, then an adjustment to $12.50 full year will automatically be generated. Repair/Replacement Fees First Claim Second Claim All Other Claims DAMAGE None $25 copay ($15 free/reduced) Full Cost of Repair THEFT (with Police None $100.00 Full Cost to Replace Report) LOST $100.00 Full Cost to Replace Full Cost to Replace Please submit your payment electronically by visiting the school website. If you prefer to pay by check please make checks payable to Sultan School District. My child and I have read, discussed and agree to Sultan School District Policy 2022 and reviewed the technology section of our student handbook. Student Name (print): Student Signature: Date: Parent/Guardian (print): Parent/Guardian Signature: Date: This form may be signed electronically using our E-Collect system. Parent/Guardian signature acknowledges student agreement as well. The educational program at your student’s school includes a Student Laptop that will be issued to your student for their use at school and home. We are very excited to be able to make these powerful tools available to our students. We also understand that both students and parents are concerned about keeping these tools secure and in good working order. Like textbooks, team uniforms and other school property issued to your student, there is a responsibility to take appropriate care of these valuable resources. The Student Laptop is no different, but it does represent an increased cost to the district and liability to students and parents. We know that loss and accidents will happen. District policies, regulations and practices require that a fee be levied to cover the repair or replacement cost of district property. With computing devices, like the Student Laptops, the cost of loss or damage can be significant. The district provides a Student Laptop Protection Plan as a way for families to reduce the financial risk if a Student Laptop is accidentally damaged, stolen, vandalized. Working as a team we can lessen the impact of an accident or the...
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PAYMENT SELECTION. If you would like to elect to receive your Settlement payment through electronic transfer, please visit the website and file your Claim Form online. The Settlement Website includes a step-by-xxxx xxxxx for you to complete the electronic Your claim must be submitted online or postmarked by: DATE CLAIM FORM FOR NEWCOURSE DATA SECURITY INCIDENT SETTLEMENT payment option.
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PAYMENT SELECTION. If you want to receive an electronic payment, please submit your Claim online.
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