You are not obliged to fill in this form to participate in the class action. If you choose to do so, you are not retaining Strosberg Sasso Sutts LLPCharney Lawyers or Branch, MacMaster LLP to act on your behalf. The information collected about potential class members on this system will assist counsel in prosecuting the class action and assessing what damages were suffered by the class as a whole. All information submitted will be treated as confidential, and will only be released as required by law or as you may consent.  Providing the information requested does not make you a client of Strosberg Sasso Sutts LLPCharney Lawyers or Branch, MacMaster LLP.

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To provide documents by fax, use our toll-free fax 1.866.316.5308. 

To provide documents to us by delivery or mail: 
     Strosberg Sasso Sutts LLP 
     Lawyers 1561 Ouellette Avenue
     Windsor ON N8X 1K5 
     Attention: Peoples Trust Privacy Breach class action

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