EXCLUSION FROM CLASS SETTLEMENT

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EXCLUSION FORM

In The Matter of
Brown v. Wal-Mart Stores, Inc.
Northern District of California Case No. 5:09-CV-03339-EJD
INSTRUCTIONS:

IF YOU WANT TO BE EXCLUDED FROM THE CLASS IN THIS LITIGATION, YOU MUST COMPLETE, SIGN AND SUBMIT THIS EXCLUSION FORM POSTMARKED ON OR BEFORE FEBRUARY 21, 2017

 

IT IS MY DECESION NOT TO PARTICIPATE IN THIS CLASS ACTION AS A CLASS MEMBER

 

I wish to be excluded from the Class in Brown v. Wal-Mart Stores, Inc., Northern District of California Case No. 5:09-CV-03339-EJD

I understand that in asking to be excluded from the class in this case, I will not receive any benefits from any judgment or settlement obtained by the class.

 

1. Claimant Information

[contact-form-7 id=”39714″ title=”Online Exclusion Form”]

Questions? Call (800) 784-2174

Deadline: Your Exclusion Form must be received by the Settlement Administrator by February 21, 2017, to be excluded from the settlement class.