CLAIMANT INFORMATION. The Settlement Administrator will use this information for all communications regarding this Claim Form and the Settlement. If this information changes prior to distribution of a cash payment, you must notify the Settlement Administrator in writing at the address above. First Name M.I. Last Name Mailing Address, Line 1: Street Address/P.O. Box Mailing Address, Line 2: City: State: Zip Code: Email Address
Appears in 1 contract
Sources: Class Action Settlement Agreement
CLAIMANT INFORMATION. The Settlement Administrator will use this information for all communications regarding this Claim Form and the Settlement. If this information changes prior to distribution of a cash paymentpayments, you must notify the Settlement Administrator in writing at the address above. First Name M.I. Last Name Parent or Guardian Name if submitting this claim on behalf of a minor. Mailing Address, Line 1: Street Address/P.O. Box Mailing Address, Line 2: City: State: Zip Code: Cellular Telephone Number Home Telephone Number Email AddressAddress Household ID Number Provided on Postcard Notice
Appears in 1 contract
Sources: Settlement Agreement
CLAIMANT INFORMATION. The Settlement Administrator will use this information for all communications regarding this Claim Form and the Settlement. If this information changes prior to distribution of a cash paymentpayments and Expanded Identity Theft and Fraud Monitoring Services, you must notify the Settlement Administrator in writing at the address above. First Name M.I. Last Name Parent or Guardian Name if submitting this claim on behalf of a minor. Mailing Address, Line 1: Street Address/P.O. Box Mailing Address, Line 2: City: State: Zip Code: Cellular Telephone Number Home Telephone Numbers Email AddressAddress Unique ID Number Provided on mailed Notice
Appears in 1 contract
Sources: Class Action Settlement Agreement