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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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. 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.

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CLAIM INFORMATION
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