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>> 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. I. By submitting this Arbitration Form, I state that I currently own or formerly owned a structure that contains or contained one or more Pella ProLine brand casement, awning and/or transom window manufactured by Pella between January 1, 1991 and December 31, 2006 (collectively “Pella ProLine Casement Window(s)”). II. Identification of Person Submitting this Form.
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>> 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.
I. By submitting this Arbitration Claim Form, I state that I currently own own, or formerly owned previously owned, a structure that contains or contained one or more Pella ProLine brand casement, awning and/or transom window window(s) manufactured by Pella between January 1, 1991 and December 31, 2006 (collectively “Pella ProLine Casement Window(s)”).
II. Identification of Person Submitting this Form.
Appears in 2 contracts
Samples: Class Action Settlement Agreement, Class Action Settlement Agreement