Settlement Claim Form. The Long Form Notice and Settlement website shall include the Settlement Claim Form, which shall be in a form substantially similar to the document attached to this Agreement as Exhibit 9, and which shall inform the Class Member that he, she or it must fully complete and timely return the Settlement Claim Form within the Settlement Claim Period to be eligible to obtain a payment pursuant to this Agreement.
Settlement Claim Form. The Court approves the Claim Form without material alteration from Exhibit B to the Settlement Agreement for distribution to Settlement Class Members pursuant to the Settlement Agreement. The Court directs that the Claim Form be distributed with the Direct Mail Notice. To be considered for possible payment under the Settlement Agreement, Claim Forms must be postmarked or submitted on the Settlement Website by no later than , 2020. A Claim Form submitted on the Settlement Website or postmarked after this date shall be untimely and invalid. Claim Forms must contain the information and comply with the requirements set forth in the Settlement Agreement.
Settlement Claim Form. If you are a Settlement Class Member and wish to receive a payment, your completed Claim Form must be postmarked on or before [Claims Deadline] Please read the full notice of this settlement (available at [website]) carefully before filling out this Claim Form. To be eligible to receive any benefits from the settlement obtained in the Action, you must submit your Claim Form by mail: MAIL: [Address] PART ONE: CLAIMANT INFORMATION Provide your name and contact information below. It is your responsibility to notify the Settlement Administrator of any changes to your contact information after the submission of your Claim Form. FIRST NAME LAST NAME STREET ADDRESS CITY STATE ZIP CODE CURRENT TELEPHONE NUMBER TELEPHONE NUMBER(S) AT WHICH CALLS AND/OR TEXTS WERE RECEIVED EMAIL ADDRESS QUESTIONS? VISIT [WEBSITE] OR CALL [NUMBER] TOLL-FREE
Settlement Claim Form. If you are a Settlement Class Member and wish to receive a payment, your completed Claim Form must be postmarked on or before [ ], or submitted online on or before [ ]. Please read the full notice of this settlement (available at www.[ ].com) carefully before filling out this Claim Form. To be eligible to receive any benefits from the settlement obtained in this class action lawsuit, you must submit this completed Claim Form online or by mail: ONLINE: Submit this Claim Form. MAIL:[ADDRESS ] PART ONE: CLAIMANT INFORMATION Provide your name and contact information below. It is your responsibility to notify the Settlement Administrator of any changes to your contact information after the submission of your Claim Form. FIRST NAME LAST NAME STREET ADDRESS CITY STATE ZIP CODE EMAIL ADDRESS PART TWO: SUBSCRIPTION INFORMATION To qualify for a cash payment, you must have, between January 18, 2021 and [Preliminary Approval Date], had either a subscription to the Tampa Bay Times with activated digital access, or a newsletter subscription to the Tampa Bay Times, and viewed videos on the Tampa Bay Times website. You must also have had a Facebook account during this time.
Settlement Claim Form. If you are a Settlement Class Member and wish to receive a payment, your completed Claim Form must be postmarked on or before [Claims Deadline] Please read the full notice of this settlement (available at [website]) carefully before filling out this Claim Form. To be eligible to receive any benefits from the settlement obtained in these Actions, you must submit your Claim Form by mail:
Settlement Claim Form. To Make a Claim for Compensation Under the Settlement, You Must Provide All Requested Information and Sign and Mail this Claim Form, Postmarked On or Before , to the Settlement Administrator at Banco Popular Overdraft Settlement c/o A.B. Data, Ltd. X.X. Xxx 000000 Xxxxxxxxx, XX 00000 BARCODE Claim #: ABC-1234567-8 Enter Any Name/Address Changes: FIRST AND LAST NAME(S) XXXXXXX0 XXXXXXX0 XXXX, XXXXX ZIP Name on Popular Account (if different from current name) CLAIM: Popular’s records indicate that you were charged one or more overdraft fees on Card transactions during the Class Period. You can obtain the total amount of overdraft fees, not including any continuous overdraft fees, that you were charged during the Class Period on the Settlement Website by using the Claim # listed on this Notice or by calling the Settlement Administrator. As described in the Notice included with this Claim Form, and in other Notices included on the settlement website, Plaintiffs allege that Popular engaged in three
Settlement Claim Form. If you are a Settlement Class Member and wish to receive a cash payment, your completed Claim Form must be postmarked on or before [ ], or submitted online on or before [ ]. Please read the full notice of this settlement (available at [hyperlink]) carefully before filling out this Claim Form. To be eligible to receive a cash payment from the settlement obtained in this class action lawsuit, you must submit this completed Claim Form online or by mail. ONLINE: Submit this Claim Form. MAIL: [ADDRESS] PART ONE: CLAIMANT INFORMATION & PAYMENT METHOD ELECTION Provide your name and contact information below. It is your responsibility to notify the Settlement Administrator of any changes to your contact information after the submission of your Claim Form. FIRST NAME LAST NAME STREET ADDRESS CITY STATE ZIP CODE EMAIL ADDRESS POTENTIAL CASH PAYMENT: You may be eligible to receive a pro rata cash payment, which will be based on the total amount of processing fees you paid, if you: (i) purchased electronic tickets to Top of the Rink, the Rink, and/or Rockefeller Center Tours from Defendants’ website xxxxx://xxx.xxxxxxxxxxxxxxxxx.xxx/, from August 29, 2022 through and including January 31, 2024; and (ii) paid a processing fee in connection with such purchase.
