AdTrader Inc., Classic and Food EOOD, LML Consult LTD., Ad Crunch LTD., and Specialized Collections Bureau, Inc. v. Google LLC

Case No. 5:17-cv-07082-BLF

U.S. District Court for the Northern District Of California

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CLAIM DEFICIENCY CURE FORM

I. CLASS MEMBER INFORMATION

Provide your contact information below. You must notify the Claims Administrator if your contact information changes after you submit this form.

Customer ID Number(s) and Email Addresses associated with your AdWords account(s) (if available); if you have multiple AdWords accounts registered to the above listed name or entity, please list all available account numbers and email addresses you used for any of those accounts here:

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II. PAYMENT SELECTION

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III. UPLOAD DOCUMENTATION

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    IV. VERIFICATION AND ATTESTATION UNDER PENALTY OF PERJURY

    By submitting this claim, I attest under penalty of perjury and by personal knowledge that the AdWords advertiser associated with this claim did not intentionally violate any of Google’s advertiser policies at any time in connection with the AdWords accounts(s) registered to the above listed name or entity.

    Your Deficiency Response has been submitted successfully.

    HOWEVER, it appears one or more of the documents you uploaded were not successfully received. Please see below for which file(s) had errors and log back in to your existing Claim online to re-upload your document(s). Alternatively, you can send your documents with your Submitted Claim ID to the Settlement Administrator by email to: info@adwordsadxClassAction.com.

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    Your Claim Details

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    CLAIM INFORMATION
    Name or the entity under which your AdWords account(s) was registered with Google
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    If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at info@adwordsadxClassAction.com

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