Opt Out - claimagainstamazon.com

If you do not want to be part of the Class, you must take steps to opt-out of the collective proceedings.

* Denotes a Required Field.

First Name*

Last Name*

House Street Address*

Town*

County*

Postal Code*

Telephone Number*

Email Address*

II. SIGNATURE

I want to be excluded from the Class in the collective proceedings in Robert Hammond v Amazon.com Inc, Amazon EU S.A.R.L, Amazon Services Europe S.A.R.L, Amazon Europe Core S.A.R.L, Amazon UK Services Limited and Amazon Media EU S.A.R.L.

I understand that by submitting this form I will be excluded from the claim, and that if this claim results in a damages award, I will not receive any compensation.

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*

Date