Xxxxx Corporation. Settlement Administrator XX Xxx 0000 Xxxxxxxx, XX 00000-0000 <<mail id>> <<Name1>> <<Name2>> <<Rep>> <<Biz>> <<Address1>> <<Address2>> <<City>><<State>><<Zip>> <<Foreign Country>> <<Date>> ARBITRATION FORM IT IS IMPORTANT THAT YOU TRY TO ANSWER ALL QUESTIONS AS FULLY AND ACCURATELY AS POSSIBLE. FAILURE TO FULLY ANSWER THE QUESTIONS OR TO PROVIDE THE REQUESTED INFORMATION AND/OR DOCUMENTATION MAY IMPACT YOUR ABILITY TO OBTAIN BENEFITS.
Appears in 2 contracts
Samples: Class Action Settlement Agreement, Class Action Settlement Agreement
Xxxxx Corporation. Settlement Administrator XX Xxx 0000 Xxxxxxxx, XX 00000-0000 <<mail id>> <<Name1>> <<Name2>> <<Rep>> <<Biz>> <<Address1>> <<Address2>> <<City>><<State>><<Zip>> <<Foreign Country>> <<Date>> ARBITRATION CLAIM FORM IT IS IMPORTANT THAT YOU TRY TO ANSWER ALL QUESTIONS AND AS FULLY AND ACCURATELY AS POSSIBLE. FAILURE TO FULLY ANSWER THE QUESTIONS OR TO PROVIDE THE REQUESTED INFORMATION AND/OR DOCUMENTATION MAY IMPACT YOUR ABILITY TO OBTAIN BENEFITS.
Appears in 2 contracts
Samples: Class Action Settlement Agreement, Class Action Settlement Agreement