MULTIPLE PURCHASER ELECTION
For claimants who also wish to be considered a Multiple Purchaser, please check the appropriate box (you only need to check
one box), and submit a proof of purchase for each qualifying transaction described below:
If I qualify as a Multiple Purchaser, I elect to receive:
Important: The Settlement Administrator will send your additional cash payment or
Voucher to the e-mail address you provided in Section II, above. Please note that the amount of each cash payment and value of each Voucher
may be adjusted up or down depending on how many people participate in the Settlement.
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