Opt In - claimagainstamazon.com

This form ONLY needs to be completed by persons that are NOT UK domiciled. As a non-domiciled person, in order to be a part of this claim, you must take steps to opt-in to the Class. This is in order for you to be part of the collective proceedings and to be eligible to receive a payment in the future if this claim results in a damages award. Opting-in does not guarantee inclusion in the Class where you do not meet the eligibility criteria.

* Denotes a Required Field.

First Name*

Last Name*

House Street Address*

Town*

Country*

Postal Code*

Telephone Number*

Email Address*

II. SIGNATURE

I am, as a non-UK domiciled person, eligible to be included in the Class and want be included in the collective proceedings in Robert Hammond v Amazon.com, Inc. & Others, Case No. 1595/7/7/23

I understand that by submitting this form I am requesting to be included in the Class, and that if this claim results in any damages award, I may, if eligible, receive compensation from this claim.

Signature*

I agree that my electronic signature on this form is the equivalent of my handwritten signature. I further agree that my electronic signature on this form is as valid as my handwritten signature. I hereby confirm that the electronic signature has been produced with my consent.

I confirm I am over the age of 18*