Seagate Hard Drive Settlement Mail-In Claim Form
For complete information about the settlement, including explanation of capitalized terms, see www.harddrive-settlement.com.
This mail-in claim form is required if you wish to receive the Cash Payment Benefit. If you wish to receive the Software Benefit, you may use this mail-in claim form or you may submit a claim online at www.harddrive-settlement.com. The deadline to submit a claim is May 14, 2008.
PERSONAL INFORMATION
First Name __________________ MI_____ Last Name ___________________
Mailing Address ___________________________________________________
City _________________________________ State _______ Zip ____________
Email Address _____________________________________________________
| Seagate Model: |
______________________________________________ [Begins with “ST” and is found on label and/or box] |
| Date of Purchase: |
Month_________________ Day_______ Year 200__ [Must be between March 22, 2001 and September 26, 2007] |
| Merchant: |
______________________________________________ [Name of retailer or distributor] |
| Net Amount Paid: |
$________________ [Purchase price excluding taxes, and after deducting any rebates you received] |
I WANT THE FOLLOWING SETTLEMENT BENEFIT (choose ONE):
[ ] Software Benefit
[ ] Cash Payment Benefit equal to 5% of the Net Amount Paid.
To receive the Cash Payment Benefit, your purchase must have occurred before January 1, 2006 AND you must provide ONE of the following:
[ ] Proof of Purchase (store receipt, credit card statement or bank statement) that shows ALL the “Purchase Information” above.
[You must enclose the Proof of Purchase with this form]
[ ] Serial Number for the drive (if you do not have Proof of Purchase):
___________________________
If you are deemed ineligible for the Cash Payment Benefit due to a deficiency in your Proof of Purchase, check here if you wish to receive the Software Benefit instead. IF YOU DO NOT CHECK THIS BOX, YOU WILL NOT RECEIVE THE SOFTWARE BENEFIT: [ ]
CERTIFICATION
I purchased the Retail Hard Drive identified above separately as a Seagate Product. I have signed up for only one settlement benefit for each Retail Hard Drive that I purchased. I declare under penalty of perjury under the laws of the United States and the State of California that all the information set forth above is true and correct.
| Dated: ___________________ | _________________________________ |
[signature] |
ADDITIONAL INSTRUCTIONS
If you purchased more than one drive, submit a separate form for each drive. Your claim is subject to validation by Seagate. Your claim will not be processed until at least 30 days after final approval of the settlement. Final approval will not occur until February 7, 2008, at the earliest. For more information, visit www.harddrive-settlement.com.
Mail this Form on or before May 14, 2008 to:
Seagate Hard Drive Settlement
c/o Rust Consulting, Inc.
P.O. Box 1240
Minneapolis, MN 55440-1240