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Opt-Out Letter: (Merchant Name)

This letter is an opt-out request from a merchant cash settlement class action lawsuit related to payment card interchange fees. The letter provides fields for the merchant to fill in their name, position, business name, address, phone number, taxpayer ID, list of store locations, and signature to exclude their business from the class.

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NATSOInc
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38 views1 page

Opt-Out Letter: (Merchant Name)

This letter is an opt-out request from a merchant cash settlement class action lawsuit related to payment card interchange fees. The letter provides fields for the merchant to fill in their name, position, business name, address, phone number, taxpayer ID, list of store locations, and signature to exclude their business from the class.

Uploaded by

NATSOInc
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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OPT-OUT LETTER

Payment Card Interchange Fee Settlement


P.O. Box 2530
Portland, OR 97208-2530

Dear Sir or Madam:

I want to exclude [merchant name] _______________________________ from the Cash Settlement


Class in the In re Payment Card Interchange Fee and Merchant Discount Antitrust Litigation.

My personal information is:

Name [first, middle, last]: ___________________________________________________________

My position: ___________________________________________________________

Name of merchant: ___________________________________________________________

My address: ___________________________________________________________

My phone number: ___________________________________________________________

Merchant's taxpayer ID number: _______________________________________________

The business names, brand names, and addresses of the stores or sales locations that I want to
exclude from the class are: [List all businesses and addresses of each store or sales location.]

My position at the business that gives me authority to exclude it from the class is:

__________________________________________________________________________

Dated: _______________________ Signed: __________________________________

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